Job Description

Job Title: CHC Service Coordinator
Job ID: 584302
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day
Facility:
Department: Comm HlthChoice_Clin_Op
Location: 600 Grant St, Pittsburgh PA 15219

Description

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

Salary Range: $15.76 to $25.02

Union Position: No

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