Jobs · Management · Pennsylvania

Supervisor Service Coordinator

AmeriHealth Caritas · Philadelphia, PA · 3 mo ago
RemoteRemoteManagementFull-time

Responsibilities

  • Oversee the operational functions of the LTSS Service Coordination team using the AmeriHealth Caritas Pennsylvania Community Health Choices model of care.
  • Oversee the day-to-day operations of the LTSS department, including the development of Person-Centered Service Plans, authorization and approval of services and the coordination of benefits for all LTSS Participants.
  • Serve as a subject matter expert for LTSS training for internal care teams and external audiences.
  • Supports coordination of LTSS with other clinical and social services across the continuum of care, striving to enhance the quality of Participant care and services.
  • Maintain operational processes, policies, and procedures to support LTSS care delivery.
  • Ensure quality and performance metrics are consistently met regarding LTSS, as specified in the agreement.

Requirements

  • Bachelor's degree required.
  • Pennsylvania licensed RN, LSW, or LPC required.
  • 1 to 3 years of leadership and/or supervisory experience.
  • 3 years working in social service or healthcare-related field.
  • 2 years working in Service Coordination with a Managed Care Organization.
  • Experience working with people with disabilities or seniors in need of LTSS.
  • Knowledge of the home and community-based service system and how to access and arrange for services.
  • Experience conducting LTSS needs assessments and monitoring LTSS delivery.
  • Ability to provide informed advocacy.
  • Ability to interact with health care professionals professionally.

Benefits

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

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