Service Coordinator-CHC

About the role

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.

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 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

Qualifications

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: 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. Valid and current driver’s license with at least 6 months of a clean driving record. Active auto insurance.

Skills

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 regulations.

Benefits

Flexible work solutions, including remote options and hybrid work schedules; competitive pay; paid time off, including holidays and volunteer events; health insurance coverage for you and your dependents on Day 1; 401(k); tuition reimbursement; and more.

Pay

Eligible Service Coordinators may receive a $3,000 sign‑on bonus, paid in two installments after hire (available to external candidates only; not eligible if employed by AmeriHealth Caritas within the six months preceding the most recent application).

Schedule

Monday through Friday, 8:30 AM – 5:00 PM EST; up to 75% travel in the community to Chester, Bucks, Montgomery, Delaware, and Philadelphia counties in PA. For remote/hybrid roles, a reliable high‑speed internet connection (minimum 50 Mbps download / 5 Mbps upload) is required; fully remote associates residing in states where service is required by contract, law, or regulation may submit for reimbursement.