Service Coordinator-CHC

Role Overview

AmeriHealth Caritas is seeking service-oriented, compassionate healthcare professionals to join our Long Term Services and Support (LTSS) team. Ideal candidates will have experience assessing those needing personal care services for instrumental daily living activities. As a Service Coordinator, you will assist participants who qualify for Medicaid in obtaining the long-term services and support they need as required by the Community Health Choices (CHC) agreement. You will contribute to the care coordination process by performing face-to-face assessments to identify, evaluate, coordinate, and manage participant's needs, including physical health, behavioral health, social services, and long-term services and support, as well as telephonic follow-up.

Work Arrangement

This role is remote and will be community-facing. Qualified candidates need to live in and be able to travel to Lackawanna county and surrounding areas in PA.

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
• Informs participants of their rights and assists 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
• Conducts reevaluation of level of care annually or more frequently as needed following CHC requirements
• Works with the participant to complete activities necessary to maintain eligibility

Education And Experience

• Bachelor’s Degree in social work, psychology, or related field is preferred
• 3+ years of social service (in lieu of a Bachelor’s degree) or related healthcare experience that required the following:
• Working with people who need personal care services
• Conducting face to face visits in the home or nursing facility focused on needs assessments and monitoring delivery of services
• Knowledge of the home and community-based service system and how to access/arrange for services
• Maintaining contact and relationships with healthcare professionals on a regular cadence, providing consistent and timely feedback to members' needs and requests
• 2 to 3 years of Case management experience

Skills & Abilities

• Must be computer proficient and have a working knowledge of MS Office specifically Excel
• High speed internet
• Dedicated home workspace free from distractions and conducive to HIPAA and Government compliance regulation

Benefits

AmeriHealth Caritas offers a comprehensive benefits package including flexible work solutions, competitive pay, paid time off, health insurance coverage, 401(k), tuition reimbursement, and more.