Service Delivery Specialist

3 days ago


Harrisburg, Pennsylvania, United States AmeriHealth Caritas Full time

About the Position

AmeriHealth Caritas is seeking a dedicated Service Delivery Specialist to join our team in the Lehigh/Capital Region of Pennsylvania. In this role, you will work closely with participants qualifying for Medicaid to provide high-quality care coordination services, ensuring they receive the necessary long-term services and support under the Community Health Choices (CHC) agreement.

Key Responsibilities

  • 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 participant-centered planning and service 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 necessary information, including participant preferences, strengths, and goals, to inform the development of the PCSP.
  • Conduct annual reevaluation of level of care or more frequently as needed following CHC requirements.
  • Work with the participant to complete activities necessary to maintain eligibility.

Requirements

  • Bachelor's Degree in social work, psychology, or related field preferred.
  • 3+ years of social service or related healthcare experience requiring working with people needing personal care services, conducting face-to-face visits focused on needs assessments and monitoring delivery of services, knowledge of 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.
  • 2-3 years of Case management experience.
  • Valid and current driver's license.
  • Reliable transportation with state-mandated minimum insurance.
  • Ability to travel up to 90 minutes from home.
  • Must be computer proficient and have working knowledge of MS Office specifically Excel.
  • High-speed internet.
  • Dedicated home workspace free from distractions and conducive to HIPAA and Government compliance regulations.

Salary and Benefits

The salary range for this position is $60,000 - $80,000 per year, depending on qualifications and location. We offer flexible work solutions, including remote options and hybrid work schedules, competitive pay, paid time off, including holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k) tuition reimbursement, and more.



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