Field-Based LTSS Service Coordinator

UPMC; Pittsburgh (Allegheny County); Hybrid; USD 42,000 - 64,000; Full time

Job summary

UPMC Health Plan is seeking Service Coordinators for the Community HealthChoices program in Butler County. This hybrid role involves daily community travel to assess and coordinate services for adults with complex medical, behavioral, and social needs.

The successful candidate will manage caseloads, document progress, and collaborate with providers to support LTSS eligibility and access to needed services, while upholding HIPAA and regulatory requirements.

Qualifications

• Strong background in case management and care coordination.
• Experience conducting in-home assessments and visits.
• Ability to work with adults with complex medical, behavioral, and social needs.
• Willingness to travel daily and work in the field 75% of the time.
• Bachelor's degree in social work, psychology, or related field (practicum preferred) or 3+ years in social/healthcare settings.

Responsibilities

• Establish relationships with internal teams and providers to coordinate resources.
• Manage an active caseload and track progress for regulatory reporting.
• Perform administrative duties including research, analysis, and reporting.
• Lead PCSP process and assist Members in obtaining LTSS services.
• Coordinate access to LTSS, Medical Assistance, and other services.
• Inform Members about LTSS options and assist with fair hearing requests when needed.
• Ensure HIPAA compliance and maintain confidentiality in daily work.
• Work in the field at least 75% of the time; travel daily as required.
• Maintain documentation and evaluate level of care when needed.

Skills

Case management

Care coordination

In-home assessments

Adult populations

Education

Bachelor's degree in social work, psychology, or related field

Job description

UPMC Health Plan is seeking Service Coordinators for the Community HealthChoices program in Butler County. This hybrid role involves daily community travel to assess and coordinate services for adults with complex medical, behavioral, and social needs.

The successful candidate will manage caseloads, document progress, and collaborate with providers to support LTSS eligibility and access to needed services, while upholding HIPAA and regulatory requirements.