Job Description
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.
+ 2 years working in Service Coordination with a Managed Care Organization
+ 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.
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.
As a company, we support internal diversity through:
Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.
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.
+ 2 years working in Service Coordination with a Managed Care Organization
+ 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.
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.
As a company, we support internal diversity through:
Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.
Numbers & Facts
| Location | Philadelphia, PA |
| Industry | Healthcare Services |
| Company Size | 5,000 to 9,999 employees |
| Year Founded | 1985 |
| Website | http://www.amerihealthcaritas.com |
About Company
Leaders in health care solutions for those most in need
AmeriHealth Caritas is the nation's leader in providing comprehensive health care solutions for those in most need and the chronically ill. We impact the lives of more than 5.7 million members nationwide. With more than 30 years of experience managing care for individuals and families in publicly-funded programs, we have become known for developing innovative solutions that help improve health outcomes while reducing costs.
Our mission, our goal
Our mission is to help people get care, stay well and build healthy communities. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP - plus behavioral health, pharmacy benefits management and third-party management and administrative services.
Skills
- Administrative Skillsunmatched
- Behavioral Healthunmatched
- Biotech and Pharmaceuticalunmatched
- Community Healthunmatched
- Community and Social Servicesunmatched
- Compensation and Benefitsunmatched
- Healthcareunmatched
- Leadershipunmatched
- Managed Careunmatched
- Needs Assessmentunmatched
- Operations Processesunmatched
- Organizational Skillsunmatched
- People Managementunmatched
- Performance Metricsunmatched
- Pharmacyunmatched
- Product Managementunmatched
- Quality Metricsunmatched
- Quality of Careunmatched
- Social Workunmatched
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