Job Title: Service Coordinator (“SC”)

Philosophy

Patient Care Coordination, Inc. (“PCC”) supports the Participant to independence by promoting individualized quality relationship and maintains community partnerships. Patient Care Coordination, Inc. Is committed to enhancing the quality of life of our participants by providing a well-rounded, focused and participant-approached level of service. Our participant-approached focus enables Patient Care Coordination to provide participants with the proper and most appropriate types of services to enable independence in the community.

Job Responsibilities

• Maintain a caseload of 70 participants under the Community Health Choices waiver.
• Complete Comprehensive Needs Assessment and Person-Centered service plan development for participants assigned under to caseload.
• Maintain and monitor participants services through regular monitoring as outlined by the respective Managed Care Organization or OLTL.
• Actively coordinates with other individuals and entities essential in the physical and behavioral care delivery for the participant to provide for seamless coordination between physical, behavioral and support services
• Assist participants in obtaining HCBS services that will support independent living
• Assist the participant and his or her PCPT in identifying and choosing willing and qualified Providers
• Collect additional necessary information, including, at a minimum: Participant 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 participants identified needs through other sources, including services provided under Medical Assistance, Medicare or private insurance and other community resources
• Identify, coordinate and assist participants 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 participants 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 Participants 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 participants and facilitating access, coordinating and monitoring LTSS needs for participants
• Works with the participant to complete activities necessary to maintain LTSS eligibility
• Identifies and mobilizes informal and formal resources and supports to meet participant needs.
• Identifies and maximizes use of third-party payers.
• Follows up with providers to ensure successful delivery of services as approved by the MCO/OLTL.
• Participates in mandatory trainings and monthly in-services and attends regularly scheduled supervision and staff meetings.
• Monitors participant satisfaction to ensure quality of services provided.
• Participates in State mandated, MCO and PCC trainings (such as, acronyms, proper transfer techniques, standard precautions, communicable diseases, avoiding injuries at work, disability-related trainings)
• Report abuse, neglect, exploitation, or other inappropriate activity to internal and external parties per federal, and State guidelines.
• Other duties as needed.

Qualifications

• Bachelor's degree required in Human Services / Social Services field. Master’s preferred.
• A combination of experience and training which adds up to 4 years of experience and education which includes 12 college credits in sociology, social work, social welfare, psychology, gerontology or another behavioral science required.
• Minimum 3 years’ experience in human services/case management preferred.
• Knowledge of Community Health Choices preferred.
• Proficient in MS Office applications with emphasis on Excel
• Ability to organize multiple tasks in a timely manner.
• Travel throughout Philadelphia and/or surrounding counties is required up to 50% per week.
• Bilingual/Multilingual a plus.

Job Type: Full-time

Pay: $35,560.00 - $47,000.00 per year

Benefits:

• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Application Question(s):

• Salary for this position ranges from $35,560-$47,000/Annually. Are you agreeable to this range?
• Do you have experience working with PA Health & Wellness? If so, what is the system you worked in for PHW?

Education:

• Bachelor's (Required)

Ability to Commute:

• Philadelphia, PA 19123 (Required)

Willingness to travel:

• 50% (Required)

Work Location: Hybrid remote in Philadelphia, PA 19123