Lead the participant-centered planning and service (PCPS) delivery process and oversee its implementation
Inform 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
Collect 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 following CHC requirements
Works with the participant to complete activities necessary to maintain eligibility
Education and Experience
Bachelor’s Degree in social work, psychology, or related field is preferred
3+ years of social service (in lieu of a Bachelor’s degree) or related healthcare experience that required the following:
working with people who need personal care services,
conducting face to face visits in the home or nursing facility focused on needs assessments and monitoring delivery of services
knowledge of the home and community-based service system and how to access/arrange for services
maintaining contact and relationships with healthcare professionals on a regular cadence, providing consistent and timely feedback to members' needs and requests.
2 to 3 years of Case management experience
Licensure
Valid and current driver’s license with at least 6 months of a clean driving record.
Active auto insurance
Skills & Abilities
Must be computer proficient and have a working knowledge of MS Office specifically Excel
High speed internet
Dedicated home workspace free from distractions and conducive to HIPAA and Government compliance regulations
Our Comprehensive Benefits Package
Flexible work solutions, including remote options and 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.
At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's 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’d like to hear from 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.
