Service Coordinator-CHC-Lehigh Area

AmeriHealth Caritas; Harrisburg (Dauphin County); On-site; USD 40,000 - 80,000; Full time

Job summary

Join a mission-driven organization dedicated to improving lives through compassionate care! As a Service Coordinator, you'll play a key role in helping Medicaid participants access essential long-term services and support. This position offers the chance to make a meaningful impact by coordinating care, conducting assessments, and ensuring participants receive the services they need. With a commitment to diversity and inclusion, this innovative firm values every associate's contributions and fosters an environment where everyone can thrive. If you're passionate about healthcare and want to make a difference, this opportunity is for you!

Benefits

Flexible Work Options

Competitive Pay

Paid Holidays

Tuition Reimbursement

Health Coverage from Day 1

401(k) Plan

Qualifications

• 3+ years of social service experience focusing on personal care services.
• 2 to 3 years of case management experience with healthcare professionals.

Responsibilities

• Assist Medicaid participants in obtaining long-term services and support.
• Conduct face-to-face assessments to evaluate participant needs.

Skills

Assessment Skills

Case Management

Communication Skills

Knowledge of Healthcare Systems

Proficiency in MS Office

Education

Bachelor’s Degree in Social Work

Bachelor’s Degree in Psychology

Tools

MS Office

Job description

Candidates must live in Lehigh/Northampton or York PA counties.

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 individuals needing personal 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.

About this role:

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.

In this role, you will have the opportunity to:

1. 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.
2. Lead the participant-centered planning and service (PCPS) delivery process and oversee its implementation.
3. Inform participants about available required needs assessments, the PCSP process, service alternatives, and service delivery options.
4. Inform participants of their rights and assist with the complaint, grievance, and DHS Fair Hearing process.
5. Collect additional necessary information, including participant preferences, strengths, and goals, to inform the development of the PCSP.
6. Conduct reevaluation of level of care annually or more frequently as needed following CHC requirements.
7. Work with the participant to complete activities necessary to maintain eligibility.

Qualified Applicants Will Have:

• Bachelor’s Degree in social work, psychology, or related field is preferred.
• 3+ years of social service or related healthcare experience that required:
• 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 basis, providing consistent and timely feedback to members' needs and requests.
• 2 to 3 years of case management experience.
• Valid and current driver’s license.
• Reliable transportation with appropriate insurance.
• Ability to travel up to 90 minutes from your home.
• Proficiency in MS Office, especially Excel, and high-speed internet.
• Dedicated home workspace compliant with HIPAA and government regulations.

Diversity, Equity, and Inclusion

At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means all associates have a fair opportunity to achieve their full potential. We act with integrity and respect daily, stand against injustice, and strive for an inclusive workplace. Celebrating diverse perspectives makes our company more vibrant, innovative, and better equipped to serve communities.

Our Comprehensive Benefits Package

Flexible work options, competitive pay, paid holidays and volunteer days, health coverage from Day 1, 401(k), tuition reimbursement, and more.