CHC Intake Service Coordinator

OneWell Health Care; Williamsport (Lycoming County); Hybrid; USD 42,000 - 66,000; Full time

Job summary

PA Health Management is seeking a devoted Intake Service Coordinator to help participants access waiver and MA State Plan services, combining office coordination with extensive fieldwork across Pennsylvania. The role focuses on person-centered care and outcome-driven support tailored to each participant's goals.

Responsibilities include annual assessments, creating and updating service plans, coordinating services with multiple agencies, and documenting interactions within 24 hours.

Qualifications

• Bachelor’s degree in Social Work, Psychology, or related field or at least 3 years of experience in the social work field.
• Prior service coordination experience preferred.
• Proficiency in Microsoft Office, Teams, and online databases; strong communication and organizational skills; ability to manage a rotating caseload and travel frequently; excellent documentation and time management abilities.

Responsibilities

• Conduct person-centered assessments and level of care evaluations at least annually.
• Develop and maintain individualized service plans, reviewing and updating them quarterly or as needed.
• Coordinate and facilitate access to approved and authorized services across various agencies and providers.
• Maintain regular contact with participants, including at least quarterly phone calls and field visits (2–3 days per week).
• Evaluate whether participants’ needs, goals, and outcomes are being met, making necessary adjustments to service plans.
• Document all interactions, assessments, and coordination activities within 24 hours of completion.
• Identify and assess all possible funding sources before submitting requests to waiver programs.
• Provide high-quality, compassionate service to participants and families, ensuring a person-centered and outcome-driven approach.
• Attend company meetings and training sessions in person as required.

Skills

Communication skills

Time management

Organizational skills

Fieldwork

Education

Bachelor's degree in Social Work, Psychology, or related field

3 years of social work experience

Tools

Microsoft Office

Microsoft Teams

Online databases

Job description

We are seeking a dedicated CHC Intake Service Coordinator in Lycoming County, PA.

Intake Service Coordinator

Location

Pennsylvania

Job Type

Full-time (Hybrid — 20% remote / 80% field-based, within a 2–3 hour travel radius)

About PA Health Management

PA Health Management is a mission-driven healthcare organization committed to improving the lives of individuals with complex medical, behavioral, and social needs. We provide comprehensive Service Coordination that ensures participants receive essential waiver services, MA State Plan benefits, and other medical, social, and educational supports — regardless of funding source.

Position Summary

The Intake Service Coordinator assists participants in accessing waiver services, MA State Plan services, and other medical, social, and educational supports, regardless of funding source. This role combines administrative coordination with extensive fieldwork, ensuring participants receive person-centered care tailored to their individual needs and goals.

Primary Responsibilities

• Conduct person-centered assessments and level of care evaluations at least annually.
• Develop and maintain individualized service plans, reviewing and updating them quarterly or as needed.
• Coordinate and facilitate access to approved and authorized services across various agencies and providers.
• Maintain regular contact with participants, including at least quarterly phone calls and field visits (2–3 days per week).
• Evaluate whether participants’ needs, goals, and outcomes are being met, making necessary adjustments to service plans.
• Document all interactions, assessments, and coordination activities within 24 hours of completion.
• Identify and assess all possible funding sources before submitting requests to waiver programs.
• Provide high-quality, compassionate service to participants and families, ensuring a person-centered and outcome-driven approach.
• Attend company meetings and training sessions in person as required.

Qualifications

• Education: Bachelor’s degree in Social Work, Psychology, or a related field; OR at least 3 years of experience in the social work field.
• Experience: Prior service coordination experience preferred.
• Skills:
  • Proficiency in Microsoft Office, Teams, and online databases.
  • Strong communication and organizational skills.
  • Ability to manage a rotating caseload and travel frequently.
  • Excellent documentation and time management abilities.
• Licenses/Certifications: Valid Driver’s License required.

Reports to

Service Coordination Supervisor or Program Manager

Competency Requirements

• Strong interpersonal and problem-solving abilities.
• Knowledge of community resources and waiver program structures.
• Ability to work independently while maintaining collaboration with interdisciplinary teams.
• Empathy, professionalism, and a commitment to participant advocacy.
• Adaptability to hybrid and field-based work environments.

Work Environment

• Schedule: Monday–Friday, 8:30 AM–5:00 PM.
• Work Setting: 20% remote/home office, 80% field visits within a 2–3 hour travel radius.
• Requires flexibility for occasional additional visits depending on participant status.

Legal Disclaimer

This job description reflects the general nature and scope of the role and is not exhaustive. PA Health Management reserves the right to revise responsibilities, qualifications, or expectations at its discretion, consistent with applicable law.

Employment is at-will and may be terminated by either party at any time, with or without cause or notice.

If you are committed to quality, integrity, and making a meaningful difference in the lives of others, we invite you to join PA Health Management — where your work supports healthier communities and lasting impact.