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Service Coordinator

AmeriHealth Caritas

Pittsburgh, PARemoteJobNo compensation foundPosted 3mo agoSeen in employer's feed 5 days ago

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At a glance

Compensation
No compensation found
Location
Pittsburgh, PARemote
Work Authorization
Not specified

Requirements

Credentials this posting asks for.

Valid And Current Driver’s LicenseBachelor's degree

Job overview

AmeriHealth Caritas is hiring a Service Coordinator. The Service Coordinator assists Medicaid participants in obtaining long‑term services and supports required by the Community Health Choices agreement, performing face‑to‑face assessments, coordinating health, behavioral, social, and housing services, and providing telephonic follow‑up.

Key focus areas include Identify, coordinate, and assist participants in accessing needed LTSS and other services, Lead participant‑centered planning and oversee PCPS delivery implementation, and Inform participants about assessments, PCSP process, service alternatives, and delivery options.

Successful candidates bring Travel Throughout Westmoreland Or Somerset Counties And Surrounding Areas In PA, 3+ Years Social Service Or Related Healthcare Experience, and Working With People Who Need Personal Care Services. Important skills include Computer Proficient, MS Office, Excel, MS Office Excel, and Travel Throughout Westmoreland County. Preferred (not required): Care Coordination, Face-to-Face Assessments, Identify Participant Needs, and Evaluate Participant Needs.

Skills & qualifications

RequiredNice to have

Skills

Computer ProficientMS OfficeExcelCare CoordinationFace-to-Face AssessmentsIdentify Participant NeedsEvaluate Participant NeedsCoordinate Participant NeedsManage Participant NeedsTelephonic Follow-UpLead Participant-Centered PlanningOversee PCPS ImplementationInform Participants of RightsAssist With Complaint ProcessCollect Participant PreferencesCollect Participant StrengthsCollect Participant GoalsConduct Reevaluation of Level of CareWork to Maintain EligibilityWorking With People Needing Personal Care ServicesConducting Face to Face VisitsKnowledge of Home and Community-Based Service SystemMaintaining Contact With Healthcare ProfessionalsProviding Consistent FeedbackProviding Timely FeedbackAssessing Those Needing Personal Care ServicesService-OrientedCompassionateAssessing Personal Care ServicesMS Office ExcelTravel Throughout Westmoreland County

Qualifications

Bachelor's Degree in Social Work Psychology or Related Field3+ Years Social Service or Related Healthcare Experience2 to 3 Years Case Management ExperienceValid and Current Driver’s LicenseHigh Speed InternetDedicated Home Workspace Free From Distractions and Conducive to HIPAA and Government Compliance Regulations

Benefits

Medical Insurance
Paid Time Off
401(k) Match
Tuition Assistance

Full job description

Candidates must be able to travel throughout Westmoreland county and surrounding areas in PA.

Role Overview

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

  • Remote

  • Candidates must be able to travel throughout Westmoreland 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

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.Ideal candidates will have experience assessing those needingpersonal care services for instrumental daily living activities

AmeriHealth Caritas is a mission-driven organization with more than 40 years of experience delivering comprehensive, outcomes-driven care to those who need it most. We are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs.

We'd like to hear from you if you want to make a difference in people’s lives.

Our Comprehensive Benefits Package

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.

As a company, we support internal diversity through:

Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.

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