Service Coordinator, Community Health Choices

AmeriHealth Caritas - Pittsburgh, PA (30+ days ago)3.4


The CHC Service Coordinator assists participants who need LTSS in obtaining the services they need as required by CHC. He or she contributes to the LTSS care coordination process by performing telephonic and/or face-to-face assessments for the identification, evaluation, coordination and management of participant’s needs, including physical health, behavioral health, social services and long term services and supports.

Key Accountabilities and Responsibilities

Lead the participant-centered planning and service (PCPS) delivery process and oversee its implementation.
Identify, coordinate, and assist participants in gaining access to needed LTSS services and other Covered Services, as well as non-covered medical, social, housing, educational, and other services and supports.
Provides information to participants and facilitates access to, locating, coordinating, and monitoring needed services and supports for Participants.
Informs participants about available LTSS required needs assessments, the PCSP process, service alternatives and service delivery options.
Informs participants of their rights and assists with the complaint, grievance, and DHS Fair Hearing.
Collects additional necessary information, including participant preferences, strengths, and goals to inform the development of the PCSP.
Conducts reevaluation of level of care annually or more frequently as needed in accordance with CHC requirements.
Works with the participant to complete activities necessary to maintain LTSS eligibility

Qualifications:
Bachelors degree in social work, psychology or other related fields
A minimum of three years working in social service or health care related field
Experience working with people with disabilities or seniors in need of LTSS
Knowledge of the home and community-based service system and how to access and arrange for services;
Experience conducting LTSS needs assessments and monitoring LTSS delivery.
Cultural competency and the ability to provide informed advocacy;
Ability to interact with health care professionals in a professional manner.
Ability to travel up to 75%, a valid drivers license is required