CHC Service Coordinator (Care Management, Home & Community Based)- Lackawanna County (Hybrid)
UPMC · Moosic, PA · 1 mo ago
Full-time
We need to output HTML fragment with sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. No job title heading. No metadata like Job ID. Remove boilerplate.
We need to parse the posting.
Content:
- Intro: "UPMC Health Plan is looking for Service Coordinators in Lackawanna County to join the Community HealthChoices team! This is a hybrid position that will require traveling into the community on a daily basis. Community HealthChoices (CHC) is Pennsylvania's managed care long-term services and supports (LTSS) program serving seniors and individuals with physical disabilities in the Commonwealth who are covered by Medicare and Medicaid. The Service Coordinator will provide service coordination services across the continuum of care through a community-based approach to improve the health outcomes of the Members served. Service coordination's purpose is for a collaborative process that assesses, plans, implements coordinates, monitors, and evaluates options and services to meet an individual's health needs through communication and available resources to promote quality, cost-effective outcomes."
That's about the role.
- "We are seeking candidates that have a strong background in case management and care coordination, experience conducting in-home assessments and visits, and a demonstrated ability to work effectively with adult populations who have complex medical, behavioral, and social needs. The successful candidate is compassionate, resourceful, and committed to helping participants remain safely and independently in their homes and communities."
That could be Requirements or Qualifications.
- Then "Responsibilities:" followed by a long list of bullet-like sentences (some separated by periods). We need to extract each duty as list items.
List after "Responsibilities:" includes many sentences. Let's parse:
"Establish and build strong relationships with both internal team members and partner providers to foster a collaborative environment.
Educates on and coordinates community resources, emphasizing medical, behavioral, and social services.
Manages an active caseload based on state-mandated ratios according to residential setting, case intensity, and acuity.
Collect program data to track participant progress on a monthly basis to ensure that OPS reporting is completed per regulatory deadline and compliance requirements.
Responsible for performing profession-level administrative duties involving research, analysis, and reporting.
Prepare reports regarding service provision and update service plans in accordance with governing bodies.
Ensures comprehensive assessments are completed within required time frames and utilizes knowledge and expertise to assess options for care including the use of benefits and community resources.
Lead the Person-Centered Service Planning (PCSP) process and oversee the implementation of PCSPs.
Assist Members in obtaining HCBS services that will support independent living.
Identify, coordinate, and assist Members in gaining access to needed LTSS and Medical Assistance services, as well as non-Medicaid funded medical, social, housing, educational, and other services and supports.
Providing information to Members and facilitating access, coordinating, and monitoring LTSS needs for Members.
Informing Members about available LTSS, required assessments, the Person t-centered service planning process, service alternatives, service delivery options including opportunities for Self -direction, roles, rights including DHS Fair Hearing rights, risks, and responsibilities, and assisting with fair hearing requests when needed and requested, and to protect a Members health, welfare, and quality on an on-going basis.
Collect s additional necessary information, including, at a minimum: Member preferences, strengths, and goals to inform the development of the PCSP
Conduct reevaluation of the level of care annually or more frequently as needed.
Assist the Member and his or her PCPT in identifying and choosing willing and qualified Providers.
Works with the Member to complete activities necessary to maintain LTSS eligibility.
Explores coverage of services to address Member identified needs through other sources, including services provided under Medical Assistance, Medicare or private insurance, and other community resources.
Actively coordinates with other individuals and entities essential in the physical and behavioral care delivery for the Member to provide for seamless coordination between physical, behavioral, and support services.
Ensures compliance with all state and federal regulations and guidelines in day-to-day activities.
Maintain confidentiality and adhere to HIPAA requirements.
Willingness and ability to work in the field at least 75% of the time.
Ability to work independently in a virtual setting."
Note some sentences have typos but we keep as is.
After that: "Bachelor's degree in social work, psychology, or other related fields with practicum experience preferred OR have at least three (3) years of experience in a social service or a healthcare-related setting. Preferred experience working with people with disabilities or seniors in need of LTSS; and knowledge of the home and community-based service system and how to access and arrange for services. Cultural competency and the ability to be sensitive to diverse backgrounds and set aside personal opinions and implicit biases. This includes their basic principles, values, ethics, ways of thinking, customs, practices, and their impact on human culture. Preferred: Minimum year of LTSS, Service Coordination, or Case Management experience. Additional Requirements: Must have a valid driver's licenseReliable transportationA private workspace free from distractions Ability to meet strict, regulatory deadlines, and willingness to protect confidentiality in accordance with HIPAA guidelines Internet Speed Requirements: Minimum speed is 20Mb/s download, 5Mb/s upload less than 50ms ping, and under 10ms jitter"
We need to separate sections: About the role (intro), Responsibilities (list), Requirements (maybe education/experience), Qualifications (maybe skills?), Benefits, Pay, Schedule.
We have no explicit Benefits, Pay, Schedule mentioned. So we should not include those sections.
We have Requirements: maybe the bullet list after "Additional Requirements:" includes driver's license, reliable transportation, private workspace, ability to meet deadlines, confidentiality, internet speed.
Also earlier: "Bachelor's degree ... preferred OR have at least three (3) years of experience..." That's qualifications.
Also "Preferred experience working with people with disabilities or seniors..." etc.
Also "Cultural competency..." etc.
Also "Preferred: Minimum year of LTSS, Service Coordination, or Case Management experience."
Thus we can have sections: About the role, Responsibilities, Qualifications (education/experience), Requirements (additional requirements like driver's license, transportation, workspace, deadlines, confidentiality, internet speed), Skills (maybe cultural competency, ability to work independently, etc). But we need to avoid thin sections. Let's see what we have.
We could combine Qualifications and Requirements into one "Requirements" section that includes education, experience, driver's license, etc. But the instruction says use headings for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We can choose which to include based on content.
We have substantive content for About the role (intro). Responsibilities (list). Qualifications (education/experience). Requirements (additional requirements like driver's license, transportation, workspace, deadlines, confidentiality, internet speed). Skills (cultural competency, ability to work independently, ability to work in field 75%, etc). However some of those overlap.
We need to avoid filler. Let's decide:
- About the role: intro paragraph(s).
- Responsibilities: list of duties.
- Qualifications: education and experience requirements (Bachelor's degree preferred OR 3 years experience, preferred experience with disabilities/seniors, knowledge of HCBS system, cultural competency, preferred minimum year of LTSS experience). Could also include "Ability to work independently in a virtual setting" maybe skill.
- Requirements: additional mandatory requirements: valid driver's license, reliable transportation, private workspace free from distractions, ability to meet strict regulatory deadlines, willingness to protect confidentiality per HIPAA, internet speed requirements (20Mb/s down, 5Mb/s up, About the role
. Ensure we keep the exact wording (maybe fix minor typos? We should preserve as is, but we can keep the text as given; but we should not introduce new info. The typos like "Person t-centered" and "Collect s" are in original; we should keep them exactly? Probably yes, preserve all substantive information; but we could keep as is. However we might want to correct obvious typos? The instruction: "Preserve ALL substantive information; do NOT invent or summarize away detail." It doesn't say we must keep typos exactly; but altering text could be considered inventing? Changing a typo could be considered altering detail. Safer to keep as is.
Thus we will copy each sentence exactly as appears, including punctuation.
Let's extract responsibilities sentences exactly as they appear in the text after "Responsibilities:" up to before "Bachelor's degree". The text:
"Responsibilities: Establish and build strong relationships with both internal team members and partner providers to foster a collaborative environment. Educates on and coordinates community resources, emphasizing medical, behavioral, and social services. Manages an active caseload based on state-mandated ratios according to residential setting, case intensity, and acuity. Collect program data to track participant progress on a monthly basis to ensure that OPS reporting is completed per regulatory deadline and compliance requirements. Responsible for performing profession-level administrative duties involving research, analysis, and reporting. Prepare reports regarding service provision and update service plans in accordance with governing bodies. Ensures comprehensive assessments are completed within required time frames and utilizes knowledge and expertise to assess options for care including the use of benefits and community resources. Lead the Person-Centered Service Planning (PCSP) process and oversee the implementation of PCSPs. Assist Members in obtaining HCBS services that will support independent living. Identify, coordinate, and assist
... intro ...
Responsibilities
- ... each duty ...
Requirements
- ... each requirement ...
. Then after that: "We are seeking candidates that have a strong background in case management and care coordination, experience conducting in-home assessments and visits, and a demonstrated ability to work effectively with adult populations who have complex medical, behavioral, and social needs. The successful candidate is compassionate, resourceful, and committed to helping participants remain safely and independently in their homes and communities." That could be part of Requirements or Qualifications. We'll include in Requirements. Now Responsibilities list: we need to split each sentence into