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CHC Assistant Service Coordinator- Nursing Facility (Remote)

UPMC

11d ago

0$42k - $67kSupportPittsburgh, PA, USjobspy_indeed
remoteindeed

Chill analysis

0/10

How async / no-phone this role is, scored from the listing text:

  • ✗ phone calls (-3)

Job Description

Community Health Choices (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. The CHC Assistant Service Coordinator assists in providing service coordination services across the continuum of care through a community\-based approach to improve health outcomes of the Participant served. This role contributes to the LTSS care coordination process by providing telephonic support to Participants and Service Coordinators through a collaborative process to promote quality, cost\-effective outcomes. This role helps assess, plan, implement, coordinate, monitor and evaluate options and services to meet an individual's health needs to include identifying physical health, behavioral health, social services and long\-term services and supports.This entry level coordinator is responsible for outreach activities to Assigned Enrollees in need of complex care management and LTSS CP supports, including but not limited to online research, phone calls, emails, documentation in the electronic platform and complying with all data entry, data integrity, and data tracking requirements. This entry level coordinator is responsible for outreach activities to Assigned Enrollees in need of complex care management and LTSS CP supports, including but not limited to online research, phone calls, emails, documentation in the electronic platform and complying with all data entry, data integrity, and data tracking requirements. This is a full time position working Monday through Friday daylight hours and will be a remote position, however must reside in Pennsylvania due to geographic hiring requirements. **Responsibilities:** * Establish and build strong relationships with both internal team Participant s and partner provider foster a collaborative environment. * Assist Enrollee in navigating and accessing LTSS services or programs and/or eliminating duplication of services. * Share with parties who need the Care Plan in connection with their supports of the Participant, including Participant s of the Participant 's care team and other providers who serve the Participant (i.e. state agency or service coordinator assigned to case * Collect program data to track participant progress on a monthly basis to ensure to OPS reporting completed per regulatory deadline and that compliance requirements * Responsible for performing profession\-level administrative duties involving research, analysis and reporting. * Prepare reports regarding service provision and update service plan in accordance with governing bodies. * Assist with Service Coordinators and Service Coordinator Associates with escalation issues. * Conduct monthly and other calls to participants * Research and assist in resolving authorization issues, including securing providers and assisting in obtaining authorizations. * Assist Participant s in obtaining HCBS se