You're Viewing 1 Of 95,000+ Jobs On OysterLink
CHC Service Coordinator Nursing Facility- Butler County & Surrounding Area!
Job Overview
Employment Type
Full-time
Compensation
Hourly
Range $22.52 - $37.40
Work Schedule
Standard Hours
Day Shifts
Benefits
Health Insurance
Dental Insurance
Paid Time Off
Retirement Plan
Flexible spending account
Life insurance
Employee assistance program
Job Description
UPMC Health Plan is a comprehensive and respected managed care organization dedicated to improving the health and well-being of individuals across Pennsylvania. Known for its commitment to innovative healthcare solutions and community-focused services, UPMC Health Plan offers a wide range of health insurance options including coverage for medical care and long-term services and supports (LTSS). The plan serves individuals who qualify for Medical Assistance, Medicare, Medicaid, or require a nursing facility level of care, making it an essential resource for vulnerable populations in the state. Through partnerships and an extensive provider network, UPMC Health Plan strives to ensure members receive... Show More
Job Requirements
- Valid driver's license
- Reliable transportation
- Clean driving record
- Private workspace free from distractions
- Ability to meet strict regulatory deadlines
- Willingness to protect confidentiality in accordance with HIPAA guidelines
Job Qualifications
- Bachelor's degree in social work, psychology, or related field with practicum experience preferred
- At least three years of experience in social service or healthcare related setting
- Experience working with people with disabilities or seniors needing LTSS preferred
- Knowledge of home and community-based service system and access processes
- Cultural competency and sensitivity to diverse backgrounds
- Ability to set aside personal opinions and biases
- Minimum of one year of LTSS, service coordination, or case management experience preferred
Job Duties
- Establish and build strong relationships with internal team members and partner providers
- Educate on and coordinate community resources with emphasis on medical, behavioral and social services
- Manage an active caseload based on state mandated ratios according to residential setting, case intensity and acuity
- Collect program data to track participant progress and ensure OPS reporting completed per regulatory deadline and compliance requirements
- Perform professional-level administrative duties including research, analysis and reporting
- Prepare reports on service provision and update service plans in accordance with governing bodies
- Ensure comprehensive assessments are completed within required time frames
- Lead the Person-Centered Service Planning (PCSP) process and oversee implementation
- Assist Members in obtaining services to support them while living in a Nursing Facility
- Identify, coordinate and assist Members to gain access to needed LTSS and Medical Assistance services as well as non-Medicaid funded medical, social, housing, educational, and other supports
- Inform Members about available LTSS, assessments, service planning, alternatives, delivery options including self-direction, rights, and assist with fair hearing requests
- Collect necessary information to inform PCSP development and conduct reevaluation of level of care
- Work with Members to maintain LTSS eligibility and explore coverage of services through Medical Assistance, Medicare or private insurance
- Coordinate with other individuals and entities to ensure seamless care between physical, behavioral and support services
- Ensure compliance with state and federal regulations and maintain confidentiality and HIPAA adherence
- Demonstrate willingness and ability to work in the field at least 75% of the time and work independently in a virtual setting
Job Qualifications
Experience
Mid Level (3-7 years)
Job Location
Don't Stop At One Job - There's More
Create a free profile
We'll match you with best jobs
Get job offers faster
Search For More Opportunities:
More Jobs Like This:
View All