Assistant Service Coordinator- (Remote)

Lensa; Pittsburgh (Allegheny County); Remote; USD 35,000 - 50,000; Full time

Job summary

A leading career site is seeking a CHC Assistant Service Coordinator for UPMC. This entry-level role involves service coordination for seniors and individuals with disabilities, focusing on improving health outcomes through telephonic support and collaboration with care teams. Ideal candidates will have relevant educational backgrounds and experience in social services.

Qualifications

• Experience in social services or healthcare.
• Fluency in English; additional languages are a plus.

Responsibilities

• Assist Enrollees in navigating LTSS services.
• Collect program data to track participant progress.
• Conduct regular calls to Participants to monitor needs.

Skills

Communication

Cultural Competency

Independence

Education

Associate's degree or Bachelor's degree in social work, psychology, or related fields

Job description

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Lensa is the leading career site for job seekers at every stage of their career. Our client, UPMC, is seeking professionals. Apply via Lensa today!

Community Health Choices (CHC) is Pennsylvania's managed care long term services and supports (LTSS) program serving seniors and individuals with physical disabilities in the Commonwealth who are covered by Medicare and Medicaid.

The CHC Assistant Service Coordinator assists in providing service coordination services across the continuum of care through a community-based approach to improve health outcomes of the Participants served. In this role, you will contribute to the LTSS care coordination process by providing telephonic support to Participants and Service Coordinators through a collaborative process to promote quality, cost-effective outcomes. You will help assess, plan, implement, coordinate, monitor, and evaluate options and services to meet an individual's health needs, including physical health, behavioral health, social services, and long-term services and supports. Responsibilities include outreach activities to Enrollees needing complex care management and LTSS CP supports, such as online research, phone calls, emails, documentation in the electronic platform, and compliance with data entry, integrity, and tracking requirements.

Responsibilities

1. Establish and build strong relationships with internal teams, Participants, and partner providers to foster a collaborative environment.
2. Assist Enrollees in navigating and accessing LTSS services or programs and eliminate duplication of services.
3. Share relevant care plan information with parties involved in the Participant's support network, including care team members and providers.
4. Collect program data to track participant progress monthly, ensuring timely reporting and compliance with regulatory deadlines.
5. Prepare reports on service provision and update service plans according to governing bodies.
6. Assist Service Coordinators with escalation issues.
7. Conduct regular calls to Participants to monitor and support their needs.
8. Research and resolve authorization issues, including securing providers and obtaining necessary authorizations.
9. Help Participants obtain HCBS services supporting independent living.
10. Coordinate access to LTSS, Medical Assistance, and other community resources.
11. Provide information, facilitate access, and monitor LTSS needs for Participants.
12. Inform Participants about available services, assessments, planning processes, rights, risks, and responsibilities, including assistance with fair hearing requests.
13. Gather additional information such as Participant preferences, strengths, and goals to inform care planning.
14. Assist Participants and their support teams in selecting qualified providers.
15. Support Participants in maintaining LTSS eligibility through necessary activities.
16. Explore coverage options through Medical Assistance, Medicare, private insurance, and community resources.
17. Coordinate with relevant individuals and entities for seamless physical, behavioral, and support services delivery.
18. Ensure compliance with all state and federal regulations.
19. Maintain confidentiality and adhere to HIPAA standards.

Minimum qualifications include:

• Associate's degree with at least one year of professional experience in the field, or
• Bachelor's degree in social work, psychology, or related fields with practicum experience, or equivalent experience in social services or healthcare.

Preferred experience includes working with people with disabilities or seniors requiring LTSS, and knowledge of home and community-based service systems. Fluency in English is required; additional languages are a plus. Candidates should demonstrate cultural competency, ability to work independently in a virtual setting, and effective communication skills.

Additional requirements:

• Internet speed of at least 20Mb/s download and 5Mb/s upload, with less than 50ms ping and 10ms jitter.
• Act 34 clearance.

UPMC is an Equal Opportunity Employer/Disability/Veteran.

Details

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Other
• Industry: IT Services and IT Consulting