Service Coordinator
Job
AmeriHealth Caritas
Remote
Full-Time
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Job Description
Service Coordinator
Role OverviewAs 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
Work Arrangement
- Remote
- Must be able to travel to Cumberland, Perry, Dauphin, Lancaster, Lebanon, and York counties in Pennsylvania.
- 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 Licensure
- Valid and current driver's license 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 regulations AmeriHealth Caritas is seeking service-oriented, compassionate healthcare professionals to join our Long Term Services and Support (LTSS) team.
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