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Service Coordinator (Dauphin County)

Company: UPMC
Location: Harrisburg
Posted on: July 18, 2021

Job Description:

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 who are covered by Medicare and Medicaid.


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:
  • Collects 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 ;
  • 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.
  • 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
  • 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
  • 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.
  • Works with the Member to complete activities necessary to maintain LTSS eligibility;
  • Assist the Member and his or her PCPT in identifying and choosing willing and qualified Providers
  • Lead the Person-Centered Service Planning (PCSP) process and oversee the implementation of PCSPs.
  • 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.

Qualifications

Service Coordinators must have a Bachelor's degree in social work, psychology, or other related fields with practicum experience OR have at least three (3) years of experience in a social service or a healthcare 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/Disability/Veteran

Keywords: UPMC, Harrisburg , Service Coordinator (Dauphin County), Other , Harrisburg, Pennsylvania

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