Intake Service Coordinator – Hybrid Field Advocate

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

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.