Service Coordination Supervisor

4 weeks ago


Scranton, Pennsylvania, United States AmeriHealth Caritas Full time
Job Summary:

The Service Coordination Supervisor is responsible for overseeing the operational functions of the LTSS Service Coordination team using the AmeriHealth Caritas Pennsylvania Community Health Choices model of care. This role requires a strong understanding of the LTSS system and the ability to develop and implement effective service plans.

Key Responsibilities:

Oversees the day-to-day operations of the LTSS department, including the development of Person-Centered Service Plans, authorization and approval of services, and the coordination of benefits for all LTSS Participants.

Serves as a subject matter expert for LTSS training for internal care teams and external audiences.

Supports coordination of LTSS with other clinical and social services across the continuum of care, striving to enhance the quality of Participant care and services.

Maintains operational processes, policies, and procedures to support LTSS care delivery.

Ensures quality and performance metrics are consistently met regarding LTSS, as specified in the agreement.

Requirements:

Bachelor's degree required.

Pennsylvania licensed RN, LSW, or LPC required.

1 to 3 years of leadership and/or supervisory experience.

3 years working in social service or healthcare-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.

Ability to provide informed advocacy.

Ability to interact with health care professionals professionally.

About AmeriHealth Caritas:

AmeriHealth Caritas is a mission-driven organization with over 30 years of experience delivering comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We implement these principles daily by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

Benefits:

AmeriHealth Caritas offers a comprehensive benefits package, including flexible work solutions, competitive pay, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k) tuition reimbursement, and more. We keep our associates happy so they can focus on keeping our members healthy.

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