Service Coordinator-CHC

Amerihealth Caritas•Tinicum Township, PA

1d•Hybrid

About The Position

As a Service Coordinator, you will assist participants who qualify for Medicaid in obtaining the long-term services and support they need as required by the Community Health Choices (CHC) agreement. You will contribute to the care coordination process by performing face-to-face assessments to identify, evaluate, coordinate, and manage participant's needs, including physical health, behavioral health, social services, and long-term services and support, as well as telephonic follow-up. This role is remote and requires field work up to 75%. The Service Coordinator must be able to travel to Chester, Bucks, Montgomery, Delaware, and Philadelphia counties in PA. For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Requirements

3+ years of social service (in lieu of a Bachelor’s degree) or related healthcare experience that required working with people who need personal care services
3+ years of social service (in lieu of a Bachelor’s degree) or related healthcare experience that required conducting face to face visits in the home or nursing facility focused on needs assessments and monitoring delivery of services
3+ years of social service (in lieu of a Bachelor’s degree) or related healthcare experience that required knowledge of the home and community-based service system and how to access/arrange for services
3+ years of social service (in lieu of a Bachelor’s degree) or related healthcare experience that required maintaining contact and relationships with healthcare professionals on a regular cadence, providing consistent and timely feedback to members' needs and requests.
2 to 3 years of Case management experience
Valid and current driver’s license with at least 6 months of a clear driving record
Must be computer proficient and have a working knowledge of MS Office specifically Excel
High speed internet
Dedicated home workspace free from distractions and conducive to HIPAA and Government compliance regulations

Nice To Haves

Bachelor’s Degree in social work, psychology, or related field is preferred

Responsibilities

Identify, coordinate, and assist participants in accessing needed LTSS services and other Covered Services, as well as non-covered medical, social, housing, educational, and other services and supports
Lead the participant-centered planning and service (PCPS) delivery process and oversee its implementation
Inform participants about available required needs assessments, the PCSP process, service alternatives, and service delivery options
Informs participants of their rights and assists with the complaint, grievance, and DHS Fair Hearing process
Collect additional necessary information, including participant preferences, strengths, and goals, to inform the development of the PCSP
Conducts reevaluation of level of care annually or more frequently as needed following CHC requirements
Works with the participant to complete activities necessary to maintain eligibility