Service Coordinator-CHC

Amerihealth Caritas • Sunbury, PA

1d

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 participant needs, including physical health, behavioral health, social services, and long-term services and support, as well as telephonic follow-up. The role requires travel throughout Northumberland 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.

Qualified candidates must have a dedicated home workspace free from distractions and suitable for HIPAA and government compliance. High-speed internet is required; a minimum of 50 Mbps download and 5 Mbps upload is specified for fully remote or hybrid roles. Eligible external candidates may receive a $3,000 sign-on bonus paid in two installments after hire. AmeriHealth Caritas employees whose employment fell within the six months preceding their most recent application date are not eligible for this bonus.

Requirements

• At least 3 years of social service experience in lieu of a bachelor’s degree, or related healthcare experience involving people who need personal care services.
• Experience conducting face-to-face visits in homes or nursing facilities focused on needs assessments and monitoring service delivery.
• Knowledge of the home and community-based service system and how to access or arrange services.
• Experience maintaining regular contact and relationships with healthcare professionals and providing consistent, timely feedback about 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 throughout Northumberland County and surrounding areas in Pennsylvania, including up to 75% travel 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 the development of the PCSP.
• Conduct reevaluations of level of care annually or more frequently as needed, following CHC requirements.
• Work with participants to complete activities necessary to maintain eligibility.

Benefits

• Eligible external Service Coordinators may receive a $3,000 sign-on bonus, 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 associate and dependents on Day 1.
• 401(k).
• Tuition reimbursement.

What This Job Offers

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