Service Coordinator-CHC Specialist

4 weeks ago


Pittsburgh, Pennsylvania, United States AmeriHealth Caritas Full time

**Service Coordinator-CHC Specialist - Butler/Beaver/Allegheny Counties**

Location: Pittsburgh, PA

Primary Job Function: Medical Management

**This is a remote, field-based role requiring travel within the Butler, Beaver, or Allegheny County areas.**

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 those needing personal care services for instrumental daily living activities such as eating, bathing, dressing, preparing meals, managing medication, and housekeeping.

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're looking for a skilled Service Coordinator-CHC Specialist to 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.

In this role, you will:

  • 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.
  • Lead the participant-centered planning and service (PCPS) delivery process and oversee its implementation.
  • Inform participants about available required needs assessments, the PCSP process, service alternatives, and service delivery options.
  • Inform participants of their rights and assist with the complaint, grievance, and DHS Fair Hearing process.
  • Collect 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 following CHC requirements.
  • Works with the participant to complete activities necessary to maintain eligibility.

**Qualified Applicants Will Have:**

  • 3+ years of social service or related healthcare experience that required the following:
  • 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 cadence, providing consistent and timely feedback to members' needs and requests.

**Diversity, Equity, and Inclusion**

AmeriHealth Caritas is committed to creating an inclusive and equitable workplace where everyone can feel valued, supported, and comfortable to be themselves. We believe that diversity is a strength and that our differences are what make us better. We're passionate about helping people get care, stay well, and build healthy communities.

**Our Comprehensive Benefits Package**

We offer a range of benefits to support our associates' physical, emotional, and financial well-being. These include flexible work solutions, competitive pay, paid time off, health insurance coverage for you and your dependents on Day 1, 401(k) tuition reimbursement, and more.



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