CHC Service Coordinator (Beaver And Lawrence County)

University Of Pittsburgh Medical Center Pittsburgh , PA 15201

Posted 2 weeks ago

Description

Community HealthChoices (CHC) is Pennsylvania's managed care long term services and supports (LTSS) program serving seniors and individuals with physical disabilities in the Commonwealth, as well as dual-eligible individuals covered by Medicare and Medicaid.

Purpose:

To provide service coordination services across the continuum of care through a community-based approach to improve health outcomes of the Members served. Service coordination's purpose is a for a collaborative process that assesses, plans, implements coordinates, monitors and evaluates options and services to meet an individual's health needs through communication and available resources to promote quality, cost-effective outcomes.

Responsibilities:

  • Actively coordinates with other individuals and entities essential in the physical and behavioral care delivery for the Member to provide for seamless coordination between physical, behavioral and support services

  • Assist Members in obtaining HCBS services that will support independent living

  • Assist the Member and his or her PCPT in identifying and choosing willing and qualified Providers

  • Collect s additional necessary information, including, at a minimum: Member preferences, strengths and goals to inform the development of the PCSP Conducts reevaluation of level of care annually or more frequently as needed

  • Explores coverage of services to address Member identified needs through other sources, including services provided under Medical Assistance, Medicare or private insurance and other community resources

  • Identify, coordinate and assist Members in gaining access to needed LTSS and Medical Assistance services, as well as non-Medicaid funded medical, social, housing, educational, and other services and supports

  • Informing Members about available LTSS, required assessments, the Person t-centered service planning process, service alternatives, service delivery options including opportunities for Self -direction, roles, rights including DHS Fair Hearing rights, risks and responsibilities, and to assist with fair hearing requests when needed and requested, and to protect a Members health, welfare and quality on on-going basis

  • Lead the Person-Centered Service Planning (PCSP) process and oversee the implementation of PCSPs

  • Providing information to Members and facilitating access, coordinating and monitoring LTSS needs for Members

  • Works with the Member to complete activities necessary to maintain LTSS eligibility

Qualifications

  • Bachelor's degree in Social Work, Psychology, or other related fields

  • At least three years working in social service or health care related setting Completion of person-centered planning and person-centered direction training

  • 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

  • Cultural competency and the ability to provide informed advocacy

  • Ability to interact with physicians and other health care professionals in a professional manner is required

Licensure, Certifications, and Clearances:

  • Driver's License

UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities


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VIEW JOBS 5/8/2019 12:00:00 AM 2019-08-06T00:00 Description Community HealthChoices (CHC) is Pennsylvania's managed care long term services and supports (LTSS) program serving seniors and individuals with physical disabilities in the Commonwealth, as well as dual-eligible individuals covered by Medicare and Medicaid. Provides service coordination services, according to the level of need. The Service Coordinator Supervisor will be responsible for the performance of the General Service Coordination duties as well as the specific duties as assigned to each level of service. Responsibilities: * Conducts onsite service coordination evaluations * Conducts regularly scheduled team meetings to communicate key information * Monitors and collects information related to staff and program performance * Participates in appropriate department and organization committees * Participates in service coordination rounds, ICTs and program development * Participates in the development and implementation of LTSS policies , goal and objectives * Performs in accordance with system-wide competencies/behaviors * Recruits, trains and orients new staff and assures that training and education needs of staff are met * Responsible for the day to day service coordination functions through the management of the staff and activity which to include approval of service plans * Responsible for the operational functions of the LTSS Team primarily focused on the service coordination model and the service coordinators * Reviews performance against goals and makes recommendations for improvement * Selects, schedules, assigns and evaluates service coordination staff Qualifications * Licensed Social Worker or Mental Health professional * Three years working in social service or health care related setting * Completion of person-centered planning and person-centered direction training; Experience working with people with disabilities or elders 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 * Cultural competency and the ability to provide informed advocacy * Ability to write an ICP and communicate effectively, both verbally and in writing across complicated service and support systems * Meet all requirements of their CBO employer, and Ability to interact with physicians and other health care professionals in a professional manner is required Licensure, Certifications, and Clearances: * Clinical Social Worker * Driver's License * Licensed Professional Counselor or Licensed Social Worker or Mental Health Counselor or Registered Nurse UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities University Of Pittsburgh Medical Center Pittsburgh PA

CHC Service Coordinator (Beaver And Lawrence County)

University Of Pittsburgh Medical Center