Service Coordinator-CHC

Amerihealth Caritas • Pittsburgh, PA

6d

About The Position

The Service Coordinator assists participants who qualify for Medicaid in obtaining the long-term services and supports they need under the Community Health Choices (CHC) agreement. The role contributes to care coordination by conducting face-to-face assessments to identify, evaluate, coordinate, and manage participants’ physical health, behavioral health, social service, and long-term services and support needs, followed by telephonic follow-up.

Candidates must be able to travel throughout Allegheny County, Pennsylvania, including McKeesport and surrounding areas, and travel up to 75% in the community. The stated schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m. EST. A dedicated, distraction-free home workspace suitable for HIPAA and government compliance is required. High-speed internet is also required; the posting specifies a minimum of 50 Mbps download and 5 Mbps upload for roles that are 100% remote or hybrid.

Eligible external candidates may receive a $3,000 sign-on bonus, paid in two installments after hire. Employees of AmeriHealth Caritas within the six months preceding their most recent application date are ineligible. The position requires a valid current driver’s license with at least six months of a clean driving record and active auto insurance.

Requirements

• At least 2 to 3 years of case management experience.
• A valid and current driver’s license with at least six months of a clean driving record.
• Active auto insurance.
• Computer proficiency and working knowledge of Microsoft Office, specifically Excel.
• High-speed internet.
• A dedicated home workspace free from distractions and suitable for HIPAA and government compliance.
• Ability to travel throughout Allegheny County, including McKeesport and surrounding areas, and travel up to 75% in the community.
• For candidates qualifying through the social service or healthcare experience pathway: at least 3 years of social service or related healthcare experience involving people who need personal care services; face-to-face home or nursing-facility visits focused on needs assessments and service-delivery monitoring; knowledge of the home and community-based service system and how to access or arrange services; and regular contact with healthcare professionals, providing consistent and timely feedback about members’ needs and requests.

Nice To Haves

• Bachelor’s degree in social work, psychology, or a related field is preferred.

Responsibilities

• Identify, coordinate, and assist participants in accessing needed LTSS 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.
• Inform participants of their rights and assist with the complaint, grievance, and DHS Fair Hearing process.
• Collect additional information, including participant preferences, strengths, and goals, to inform development of the PCSP.
• Conduct annual or more frequent reevaluations of level of care as needed under CHC requirements.
• Work with participants to complete activities necessary to maintain eligibility.

Benefits

• Eligible external candidates may receive a $3,000 sign-on bonus, paid in two installments after hire; eligibility exclusions apply.
• Flexible work solutions, including remote options and hybrid work schedules.
• Competitive pay.
• Paid time off, including holidays and volunteer events.
• Health insurance coverage for the employee and dependents beginning on Day 1.
• 401(k).
• Tuition reimbursement.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed