Service Coordinator-CHC

Amerihealth Caritas • Smithfield Township, PA

4d

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 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 providing telephonic follow-up.

Qualified candidates must be able to travel in Monroe County and surrounding areas in Pennsylvania, including travel up to 75% in the community. The schedule is Monday through Friday, 8:30 AM to 5:00 PM EST. Candidates must have a dedicated, distraction-free home workspace conducive to HIPAA and government compliance, as well as high-speed internet. For roles that are 100% remote or hybrid, a reliable connection with at least 50 Mbps download and 5 Mbps upload is required. 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 are ineligible.

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 MS Office, specifically Excel.
• High-speed internet.
• A 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 a related field is preferred.
• At least 3 years of social service (in lieu of a bachelor’s degree) or related healthcare experience involving work with people who need personal care services; face-to-face home or nursing facility visits 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 regular contact with healthcare professionals, providing consistent and timely feedback about members’ needs and requests.

Responsibilities

• Identify, coordinate, and assist participants in accessing needed LTSS and other Covered Services, along with 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 PCSP development.
• Conduct annual or more frequent reevaluations of level of care as required by CHC.
• Work with participants to complete activities necessary to maintain eligibility.

Benefits

• A $3,000 sign-on bonus for eligible external candidates, paid in two installments after hire.
• 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 on Day 1.
• 401(k).
• Tuition reimbursement.

What This Job Offers

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