Contract Service Coordinator Jobs (NOW HIRING)

Role Overview

The Supervisor, Service Coordination is responsible for overseeing the operational functions of the LTSS Service Coordination team in accordance with the AmeriHealth Caritas Pennsylvania Community Health Choices model of care.

Work Arrangement

• Remote
• Candidates must live in the Lehigh/Capital region in PA.

Responsibilities

• Oversees the day to day operations of the assigned LTSS team of Service Coordinators, serving as the subject-matter expert in LTSS; monitoring for team and individual SC compliance of contract service line agreements and NCQA requirements.
• Responsible for associate onboarding, performance development, improvement plans, and corrective action as necessary.
• Monitors Participant assignment, assessments, and Person-Centered contacts, per the contract and NCQA requirements.
• Assists with the coordination of benefits for LTSS Participants, including the development of Person-Centered Service Plans, .
• Maintains operational processes, policies and procedures to support LTSS care delivery
• Ensure quality and performance metrics are consistently met regarding LTSS, as specified in the agreement
• Responsible for on-call assignments, special projects as assigned, overall caseload compliance of the assigned Service Coordinators.
• Clearly and factually communicates updates and changes to the Service Coordinators, fostering a culture of accountability.

Education and Experience

• Bachelor's degree 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
• Experience conducting LTSS needs assessments and monitoring LTSS delivery

Licensure

Service Coordinator supervisors must have the qualifications and standards proposed by the CHC-MCOs and approved by the Department.

·The Service Coordinator Supervisor must, meet the criteria to be a Service Coordinator as defined by the CHC Contract: Service Coordinators must: (1) be a Registered Nurse (RN); or (2) have a Bachelor’s degree in Social Work, Psychology, or other related fields; or (3) have at least three (3) or more years of experience in a social service or a healthcare related setting.

·Have direct report leadership and/or supervisory experience preferred. Will consider applicants with experience working as a Service Coordinator for the CHC program with experience mentoring fellow Service Coordinators and/or working on special projects as assigned.

The Service Coordinator Supervisor Non-Clinical must have an exception granted by the Office of Long-Term Living as obtained by ACP CHC or KF CHC.

Skills and Abilities

• 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 in a professional manner.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare 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. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver 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.

Discover more about us at www.amerihealthcaritas.com

Our Comprehensive Benefits Package

Flexible work solutions include remote options, hybrid work schedules, 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.