Service Coordinator I

Job Description

Job Description

Job Type

Full-time

Description

Company name : PCA Care Connections

Title of position : Service Coordinator I

Position type : Full Time

Pay range : $43,899.00-$50,818.58 based on experience.

Location : PCA Main Building

"PCA Care Connections is a NCQA accredited non-profit agency that currently provides two types of services : Service Coordinator for Community Health Choices (CHC) participants enrolled with Pennsylvania Health and Wellness and Nursing Home Transition Services for participants enrolled with Pennsylvania Health and Wellness or Keystone First. We currently serve participants throughout the Greater Philadelphia region, including Philadelphia, Delaware, Montgomery, Bucks and Chester counties.

" The mission of PCA Care Connections is “provide high quality, person-centered and cost effective Service Coordination for older adults and persons with disabilities in partnerships with managed care organizations and integrated health systems and practices. Our goals are to promote quality of life, independence, dignity, and optimal health and well-being.”

• Medical, prescription drug, vision, and dental coverage
• Flexible spending plan (health and dependent care)
• EAP, life insurance, short- and long-term disability insurance
• Pre-tax commuting, and parking benefits
• Annual paid time off and vacation are based depending on tenure.

Requirements

DESCRIPTION : Reporting to a Supervisor, this position facilitates and coordinates long-term services and supports, utilizing a person-centered approach to improve psychosocial and health outcomes. In accordance with procedures and requirements of Community Health Choices (CHC) Managed Care Organization (MCO), the Service Coordinator has responsibility for ongoing assessment, service planning, service coordination, monitoring, follow-up, and evaluation for persons with disabilities and / or older adults. The SC works within a collaborative team approach to identify and address participants’ needs, preferences, and goals related to physical health, behavioral health, social services, and long-term services and supports. SCs work primarily remotely when not in the field but do have access to the office, as needed. All SCs are provided with a tablet and mobile phone to fulfill work duties.

Qualifications :

Associate's degree in social work, psychology, or related fields with 3 years of employment in social service or health care related setting or Bachelor's degree in social work, psychology, or related fields with at least 1 year of employment in a social service or health care related setting, preferred.

Professional Characteristics :

Duties and Functions :

a. Conducts comprehensive person-centered assessments utilizing the InterRAI and Person-Centered Planning Tool (PCSP) tools to determine participants’ needs, strengths, preferences, and goals. Inter RAI and PCSP are completed annually or whenever there is a significant change.

b. Works with participant, his / her family, and / or caregiver, to develop an individualized service plan, making use of consultation with other disciplines as indicated.

c. Identifies, mobilizes, and arranges informal and formal resources to meet participants' needs including LTSS services, other covered services, and non-covered community services and supports.

d. Facilitates participant choice of providers and SCs.

e. Adheres to all MCO required timeframes.

f. Adheres to all documentation and reporting requirements.

g. Participates / Conducts Interdisciplinary Team meetings

h. Conducts home visits and telephone contacts per MCO standards to monitor adequacy and continued appropriateness of service plan as well as goal achievement.

i. Facilitates care transitions

j. Provides coordination with behavioral health services

k. Monitors participant satisfaction to ensure quality of services provided.

l. Supports participants with maintaining their CHC eligibility.

m. Completes critical incidents and associated root cause analysis (RCA) as needed.

n. Notifies participants of their rights and assists with complaint, grievance, and Fair Hearing processes

o. Adheres to the Health Insurance Portability and Accountability Act (HIPAA)

p. Utilizes tablet in the field. Completes all necessary forms and data entry for participants’ record, other management information, and other written reports as required, such as critical incidents.

q. Participates in quality improvement activities

r. Participates in orientation and training and attends regularly scheduled supervision and staff meetings. Seeks opportunities for professional development.

s. Other duties as assigned.

Additional Requirements :

For information on PCA Care Connections, including more information on our company culture, visit our website at https : / / www.pcacareconnections.org /

All applicants will receive an acknowledgement that their application has been. Those candidates selected for further consideration will be contacted.

PCA Care Connections is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.