Top 91 Medicaid coordinator Jobs in Philadelphia, Pa

Service Coordinator- Philadelphia (Hybrid with travel to Philadelphia Suburbs)
UPMC —Philadelphia, PA
- $24.32 - $40.54 an hour
- Full-time
- Hybrid work
- Clean driving record
- Experience working with individuals with disabilities
- HIPAA
Intake Coordinator
A1 Homecare Services LLC —Philadelphia, PA
- Full-time
- Mid-level
Quick Apply
Service Coordinator-CHC
Amerihealth Caritas —Philadelphia, PA
- Full-time
- Hybrid work
- Computer literacy
- HIPAA
- Mid-level
- Paid holidays
- Health insurance
Program Specialist
Merakey —Philadelphia, PA
- $30.94 an hour
- Full-time
- Mid-level
- Supervising experience
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Medical Policy Administrative Coordinator - Hybrid (PA/NJ/DE)
Independence Blue Cross —Philadelphia, PA
- Hybrid work
- Mid-level
- Office
- 3 years
SUPPORT BROKER
Palco —Philadelphia, PA
- Weekends as needed
- Hybrid work
- Microsoft Outlook
- Experience working with individuals with disabilities
- HIPAA
- Paid training
- AD&D insurance
Intake & Community Engagement Coordinator
CAREFULLY CARING HOME CARE AGENCY —Philadelphia, PA
- $22 - $25 an hour
- Full-time
- Experience working with individuals with developmental disabilities
- Nursing
- HIPAA
- 401(k)
- Paid time off
Quick Apply
STEP: Family Peer (Eligibility Application)
The School District Of Philadelphia —Philadelphia, PA
- $24,514 - $36,771 a year
- Full-time
- Computer literacy
- Writing skills
- Caregiving
Licensed Speech Therapist
Quality Healthcare Group, Inc. —Glenolden, PA
- $40 - $50 an hour
- Part-time
- CPR Certification
- BLS Certification
- HIPAA
- Flexible schedule
Quick Apply
Scheduling Coordinator
Quality Life Health Care —Philadelphia, PA
- From $18 an hour
- Full-time
- Google Workspace
- Medical office experience
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Service Coordinator - Case Manager Social Services Lower Bucks County
Care Lync —Newtown Square, PA
- $48,000 - $55,000 a year
- Full-time
- CPR Certification
- Up to 50% travel
- Bachelor of Science
- Health insurance
- Dental insurance
Quick Apply
5d
MDS Coordinator
Eden Senior Care —Yeadon, PA
- $95,000 - $105,000 a year
- Full-time
- Skilled nursing facility
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Compliance Coordinator
Occupational Training Center —Burlington, NJ
- $58,000 - $68,000 a year
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
1d
STEP: Clinical Coordinator (Eligibility Application)
The School District Of Philadelphia —Philadelphia, PA
- $65,314 - $82,000 a year
- Full-time
- LMFT
- Writing skills
- Licensed Clinical Social Worker
Front Desk Administrative Coordinator
Dunbar Wellness Group —Philadelphia, PA
- $21 - $23 an hour
- Full-time
- Microsoft Outlook
- Ability to walk for extended periods
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Support Coordinator
AVENUES TO INDEPENDENT LIVING, INC. —Woodbury, NJ
- $26 an hour
- Full-time
- Mid-level
- Driver's License
- Bachelor's degree
Quick Apply
DME fitter and Coordinator
Mobility Ideal Health —Cherry Hill, NJ
- Clean driving record
- Medical office experience
- HIPAA
Quick Apply
Reimbursement Specialist
Penn Medicine —Philadelphia, PA
- Full-time
- Customer service
- Mid-level
- Office
- Tuition reimbursement
Quick Apply
Community Outreach Coordinator
Discover Our World of Healthcare / Discover health at home —Philadelphia County, PA
- From $25 an hour
- Part-time
- Microsoft Outlook
- Nursing home
- Mid-level
- Professional development assistance
- Flexible schedule
Quick Apply
SUPPORTS COORDINATOR/CASE MANAGER
The Arc Alliance —Eagleville, PA
- $45,000 - $55,000 a year
- Full-time
- Writing skills
- Basic math
- Mid-level
Quick Apply

I want to receive the latest job alert for medicaid coordinator in philadelphia, pa

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

medicaid coordinator jobs near philadelphia, pa

Front Desk Coordinator jobs in Philadelphia, PA

Administrative Coordinator jobs in Philadelphia, PA

Broker jobs in Philadelphia, PA

Intake Coordinator jobs in Philadelphia, PA

Compliance Officer jobs in Burlington, NJ

Service Coordinator jobs in Philadelphia, PA

Program Specialist jobs in Philadelphia, PA

Reimbursement Specialist jobs in Philadelphia, PA

Scheduling Coordinator jobs in Philadelphia, PA

Service Manager jobs in Oakland County, MI

Retail Store Manager jobs in Murfreesboro, TN

Healthcare Project Manager jobs in Virginia

Patient Service Representative Advocate jobs in Chicago, IL

Service Manager jobs in Dayton, OH

Service Manager jobs in Nebraska

Service Manager jobs in Indianapolis, IN

Automotive Finance Manager jobs in Philadelphia, PA

Durable Medical Equipment Coordinator jobs in San Ramon, CA

Durable Medical Equipment Coordinator jobs in Dallas, TX

Durable Medical Equipment Coordinator jobs in Durham, NC

Service Coordinator- Philadelphia (Hybrid with travel to Philadelphia Suburbs)

UPMC -
Philadelphia, PA

Apply Now

Job Details

Full-time
$24.32 - $40.54 an hour

Qualifications

HIPAA
Driver's License
Health information regulatory compliance
Clinical confidentiality policies

Full Job Description

UPMC Health Plan is looking for Service Coordinators in the Philadelphia area to join the Community HealthChoices team!

Community HealthChoices (CHC) is Pennsylvania's managed care long-term services and supports (LTSS) program serving seniors and individuals with physical disabilities in the Commonwealth who are covered by Medicare and Medicaid.

To provide service coordination services across the continuum of care through a community-based approach to improve the health outcomes of the Members served. Service coordination's purpose is for a collaborative process that assesses, plans, implements coordinates, monitors, and evaluates options and services to meet an individual's health needs through communication and available resources to promote quality, cost-effective outcomes.

This is a hybrid position that requires traveling into the community on a daily basis. Must be in the Philadelphia area to be considered!

Responsibilities:

Establish and build strong relationships with both internal team members and partner providers to foster a collaborative environment. Educates on and coordinates community resources, emphasizing medical, behavioral, and social services.
Manages an active caseload based on state-mandated ratios according to residential setting, case intensity, and acuity. Collect program data to track participant progress on a monthly basis to ensure that OPS reporting is completed per regulatory deadline and compliance requirements.
Responsible for performing profession-level administrative duties involving research, analysis, and reporting. Prepare reports regarding service provision and update service plans in accordance with governing bodies. Ensures comprehensive assessments are completed within required time frames and utilizes knowledge and expertise to assess options for care including the use of benefits and community resources.
Lead the Person-Centered Service Planning (PCSP) process and oversee the implementation of PCSPs. Assist Members in obtaining HCBS services that will support independent living.
Identify, coordinate, and assist Members in gaining access to needed LTSS and Medical Assistance services, as well as non-Medicaid funded medical, social, housing, educational, and other services and supports. Providing information to Members and facilitating access, coordinating, and monitoring LTSS needs for Members.
Informing Members about available LTSS, required assessments, the Person t-centered service planning process, service alternatives, service delivery options including opportunities for Self -direction, roles, rights including DHS Fair Hearing rights, risks, and responsibilities, and assisting with fair hearing requests when needed and requested, and to protect a Members health, welfare, and quality on an on-going basis.
Collect s additional necessary information, including, at a minimum: Member preferences, strengths, and goals to inform the development of the PCSP Conduct reevaluation of the level of care annually or more frequently as needed. Assist the Member and his or her PCPT in identifying and choosing willing and qualified Providers.
Works with the Member to complete activities necessary to maintain LTSS eligibility. Explores coverage of services to address Member identified needs through other sources, including services provided under Medical Assistance, Medicare or private insurance, and other community resources.
Actively coordinates with other individuals and entities essential in the physical and behavioral care delivery for the Member to provide for seamless coordination between physical, behavioral, and support services. Ensures compliance with all state and federal regulations and guidelines in day-to-day activities. Maintain confidentiality and adhere to HIPAA requirements.
Willingness and ability to work in the field at least 75% of the time. Ability to work independently in a virtual setting.

Bachelor's degree in social work, psychology, or other related fields with practicum experience preferred OR have at least three (3) years of experience in a social service or a healthcare-related setting.
Preferred experience working with people with disabilities or seniors in need of LTSS; and knowledge of the home and community-based service system and how to access and arrange for services.
Cultural competency and the ability to be sensitive to diverse backgrounds and set aside personal opinions and implicit biases. This includes their basic principles, values, ethics, ways of thinking, customs, practices, and their impact on human culture.
Preferred: Minimum year of LTSS, Service Coordination, or Case Management experience.

Additional Requirements:

Must have a valid driver's license
Reliable transportation
Clean driving record
A private workspace free from distractions
Ability to meet strict, regulatory deadlines, and willingness to protect confidentiality in accordance with HIPAA guidelines

Apply Now

Refine Your Search

medicaid coordinator jobs in philadelphia, pa

Service Coordinator- Philadelphia (Hybrid with travel to Philadelphia Suburbs)

Intake Coordinator

Service Coordinator-CHC

Program Specialist

Medical Policy Administrative Coordinator - Hybrid (PA/NJ/DE)

SUPPORT BROKER

Intake & Community Engagement Coordinator

STEP: Family Peer (Eligibility Application)

Licensed Speech Therapist

Scheduling Coordinator

Service Coordinator - Case Manager Social Services Lower Bucks County

MDS Coordinator

Compliance Coordinator

STEP: Clinical Coordinator (Eligibility Application)

Front Desk Administrative Coordinator

Support Coordinator

DME fitter and Coordinator

Reimbursement Specialist

Community Outreach Coordinator

SUPPORTS COORDINATOR/CASE MANAGER

I want to receive the latest job alert for medicaid coordinator in philadelphia, pa

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected