Plan Design Coordinator jobs in Philadelphia, PA

Your career starts now. We are looking for the next generation of health care leaders.

At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nations leaders in health care 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. If you want to make a difference, we would like to hear you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 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.

• Must live in Montgomery, Bucks, Delaware, Chester, or Philadelphia Counties in PA

Responsibilities:

The CHC Service Coordinator assists participants in obtaining the services they need as required by the Community Health Choices agreement.  The Service Coordinator contributes to the care coordination process by performing telephonic and face-to-face assessments for the identification, evaluation, coordination and management of participant’s needs, including physical health, behavioral health, social services and long term services and supports.

• Lead the participant-centered planning and service (PCPS) delivery process and oversee its implementation. 
• Identify, coordinate, and assist participants in gaining access to needed LTSS services and other Covered Services, as well as non-covered medical, social, housing, educational, and other services and supports. 
• Provides information to participants and facilitates access to, locating, coordinating, and monitoring needed services and supports for Participants. 
• Informs participants about available required needs assessments, the PCSP process, service alternatives and service delivery options. 
• Informs participants of their rights and assists with the complaint, grievance, and DHS Fair Hearing process.
• Collects additional necessary information, including participant preferences, strengths, and goals to inform the development of the PCSP.
• Conducts reevaluation of level of care annually or more frequently as needed in accordance with CHC requirements. 
• Works with the participant to complete activities necessary to maintain eligibility.

Education/Experience:

• Bachelors Degree and no experience OR no degree and minimum of 3 years relevant experience. If Bachelors degree is held, prefer in In social work, psychology or other related fields.
• Bachelors Degree and experience highly desirable.
• Valid driver’s license required; field based position, local travel required.
• Experience working in human services fields with people with disabilities or seniors
• Knowledge of the home and community-based service system and how to access and arrange for services.
• Experience conducting needs assessments and monitoring delivery.
• Cultural competency and the ability to provide informed advocacy.
• Ability to interact with health care professionals in a professional manner.

Diversity, Equity, and Inclusion

At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

We keep our associates happy so they can focus on keeping our members healthy.

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.