Service Coordinator-CHC

Amerihealth Caritas • Loyalsock Township, 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 participants’ physical health, behavioral health, social service, and long-term services and support needs, as well as conducting telephonic follow-up.

The role requires travel throughout Clinton and Lycoming counties and surrounding areas in Pennsylvania, with up to 75% travel in the community. The stated schedule is Monday through Friday, 8:30 AM to 5:00 PM EST. For remote or hybrid work, associates must have reliable high-speed internet with at least 50 Mbps download and 5 Mbps upload. Fully remote associates residing in states where service is required by contract, law, or regulation may submit for reimbursement.

Requirements

• At least 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.
• Dedicated home workspace free from distractions and conducive to HIPAA and Government compliance regulations.
• Ability to travel throughout Clinton and Lycoming counties and surrounding areas in Pennsylvania, including up to 75% travel in the community.
• For relevant remote or hybrid arrangements, reliable high-speed internet with at least 50 Mbps download and 5 Mbps upload.

Nice To Haves

• Bachelor’s degree in social work, psychology, or a related field.
• At least 3 years of social service experience in lieu of a bachelor’s degree, or related healthcare experience involving personal care services, face-to-face needs assessments and service-delivery monitoring in a home or nursing facility, knowledge of home and community-based services and how to arrange them, and regular contact and communication with healthcare professionals.

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 information, including participant preferences, strengths, and goals, to inform 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; employees of 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 starting on Day 1.
• 401(k).
• Tuition reimbursement.

What This Job Offers

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