70 Amerihealth Caritas Customer Service Representative Jobs Hiring Near You

Must be able to travel throughout Erie county and surrounding areas in PA.

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Your career starts now. We're looking for the next generation of health care leaders.

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 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. 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 .

Role Overview

As a Service Coordinator, you will 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. You will contribute to the care coordination process by performing face-to-face assessments to identify, evaluate, coordinate, and manage participant's needs, including physical health, behavioral health, social services, and long-term services and support, as well as telephonic follow-up.

Work Arrangement

• Remote, requires field work up to 75%

• Must be able to travel throughout Erie county and surrounding areas in PA.

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 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

• 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

Education and Experience

• Bachelor's Degree in social work, psychology, or related field is preferred

• 3+ years of social service (in lieu of a Bachelor's degree) 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.

• 2 to 3 years of Case management experience

Licensure

• Valid and current driver's license with at least 6 months of a clean driving record.

Skills & Abilities

• Must be computer proficient and have a working knowledge of MS Office specifically Excel

• High speed internet

• Dedicated home workspace free from distractions and conducive to HIPAA and Government compliance regulations

Our Comprehensive Benefits Package

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.

As a company, we support internal diversity through:

Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.