Job Brief
Applicants must live in the Northeast region of Pennsylvania.
Applicants must live in the Northeast region of Pennsylvania.
Your career starts now. We are looking for the next generation of healthcare leaders.
At AmeriHealth Caritas, we are 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. We want to connect with you if you're going to make a difference.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with over 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.
Responsibilities:
The Service Coordination Supervisor is responsible for overseeing the operational functions of the LTSS Service Coordination team using the AmeriHealth Caritas Pennsylvania Community Health Choices model of care.
Oversees the day to day operations of the LTSS department, including the development of Person-Centered Service Plans, authorization and approval of services and the coordination of benefits for all LTSS Participants.
Serves as a subject matter expert for LTSS training for internal care teams and external audiences.
Supports coordination of LTSS with other clinical and social services across the continuum of care, striving to enhance the quality of Participant care and services.
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.
Education/Experience:
Bachelor's degree required.
Pennsylvania licensed RN, LSW, or LPC 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.
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 professionally.
Diversity, Equity, and Inclusion
At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We implement these principles daily by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
We keep our associates happy so they can focus on keeping our members healthy.
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.
Applicants must live in the Northeast region of Pennsylvania.
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