CHC Service Coordinator (Care Management, Home & Community Based)- Lackawanna County (Hybrid)

About the role

UPMC Health Plan is seeking Service Coordinators in Lackawanna County to join the Community HealthChoices team. This is a hybrid position requiring daily travel into the community.

Responsibilities

• Establish and build strong relationships with internal team members and partner providers.
• Manage an active caseload based on state-mandated ratios, conduct in-home assessments and visits, and coordinate community resources.
• Prepare reports regarding service provision and update service plans in accordance with governing bodies.
• Lead the Person-Centered Service Planning (PCSP) process and assist Members in obtaining HCBS services.
• Coordinate access to LTSS and Medical Assistance services, and non-Medicaid funded services.
• Inform Members about available LTSS, required assessments, and service alternatives, and assist with fair hearing requests.
• Collect additional necessary information, including Member preferences, strengths, and goals.
• Ensure compliance with state and federal regulations and guidelines.
• Work independently in a virtual setting, willing to travel at least 75% of the time.

Qualifications

• Bachelor’s degree in social work, psychology, or related fields with practicum experience preferred, or at least three (3) years of experience in a social service or healthcare-related setting.
• Experience working with people with disabilities or seniors in need of LTSS, and knowledge of the home and community-based service system.
• Cultural competency and sensitivity to diverse backgrounds.
• Minimum one (1) year of LTSS, Service Coordination, or Case Management experience preferred.

Additional Requirements

• Valid driver’s license
• Reliable transportation
• A private workspace free from distractions
• Ability to meet strict regulatory deadlines and adhere to HIPAA guidelines