Service Coordinator-CHC

Amerihealth Caritas • Muhlenberg Township, PA

22h

About The Position

As a Service Coordinator, you will assist participants who qualify for Medicaid in obtaining the long-term services and supports they need under the Community Health Choices (CHC) agreement. You will contribute 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, as well as completing telephonic follow-up.

Qualified candidates must be able to travel to Berks County, Pennsylvania, 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. For roles that are 100% remote or hybrid, access to reliable high-speed internet is required, with minimum bandwidth of 50 Mbps download and 5 Mbps upload. Those fully remote associates residing in states where service is required by contract, law, or regulation may submit for reimbursement. The role also requires a dedicated home workspace free from distractions and suitable for HIPAA and government compliance.

Requirements

• At least 3 years of social service or related healthcare experience in lieu of a bachelor’s degree, including experience working with people who need personal care services; conducting face-to-face visits in a home or nursing facility focused on needs assessments and monitoring service delivery; knowledge of the home and community-based service system and how to access or arrange services; and maintaining regular contact with healthcare professionals while providing timely feedback on 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 clean driving record.
• Active auto insurance.
• Computer proficiency and working knowledge of MS Office, specifically Excel.
• High-speed internet.
• A dedicated home workspace free from distractions and conducive to HIPAA and government compliance regulations.
• Ability to travel to Berks County, Pennsylvania, and up to 75% in the community.

Nice To Haves

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

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.
• Inform participants of their rights and assist with the complaint, grievance, and DHS Fair Hearing process.
• Collect additional necessary information, including participant preferences, strengths, and goals, to inform development of the PCSP.
• Conduct annual reevaluations of level of care, or more frequently as needed, following 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. Individuals employed by AmeriHealth Caritas within the six months preceding their most recent application date are not eligible.
• 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 associate and dependents on Day 1.
• 401(k).
• Tuition reimbursement.

What This Job Offers

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