Community Care Specialist
1 day ago
Role Overview:
AmeriHealth Caritas is seeking an experienced Community Care Specialist to join our Long Term Services and Support (LTSS) team in Allegheny County. This field-based role requires travel within the county, working with healthcare professionals to deliver comprehensive care to those who need it most.
About this Role:
As a Community Care Specialist, you will assist participants qualifying for Medicaid in obtaining long-term services and support as required by the Community Health Choices (CHC) agreement. You will contribute to the care coordination process by performing telephonic and face-to-face assessments to identify, evaluate, coordinate, and manage participant needs.
Responsibilities:
- Identify, coordinate, and assist participants in accessing needed LTSS services and other Covered Services
- Lead the 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
- Informs participants of their rights and assists 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
Requirements:
- 3+ years of social service or related healthcare experience requiring work with people needing personal care services, conducting face-to-face visits, knowledge of home and community-based service systems, and maintaining contact with healthcare professionals
- Valid and current driver's license and access to reliable automobile transportation with state-mandated minimum insurance
- Ability to travel up to 90 minutes from your home
- Must be computer proficient and have a working knowledge of MS Office
- Bachelor's Degree in social work, psychology, or related field is preferred
Compensation:
The estimated salary range for this position is $55,000-$65,000 per year, depending on experience and qualifications.
Benefits:
- 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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