The Service Coordination Supervisor is responsible for overseeing the operational functions of the LTSS Service Coordination team in accordance with the AmeriHealth Caritas Pennsylvania Community Health Choices model of care.
- Oversees the day to day operations of the LTSS department, including the development of Person-Centered Service Plans, authorization and approval of services and the coordination of benefits for all LTSS Participants.
- Serves as a subject matter expert for LTSS training for internal care teams and external audiences.
- Supports coordination of LTSS with other clinical and social services across the continuum of care striving to enhance the quality of Participant care and services.
- Maintains operational processes, policies and procedures to support LTSS care delivery
- Ensure quality and performance metrics are consistently met regarding LTSS, as specified in the agreement.
Education/Experience:
- Bachelor's degree required.
- Pennsylvania licensed RN, LSW, or LPC required; consideration will be given to candidates eligible for licensure within 12 months of employment.
- 1 to 3 years leadership and/or supervisory experience preferred.
- 3 years working in social service or health care related field.
- Experience working with people with disabilities or seniors in need of LTSS.
- Knowledge of the home and community-based service system and how to access and arrange for services.
- Experience conducting LTSS needs assessments and monitoring LTSS delivery.
- Ability to provide informed advocacy.
- Ability to interact with health care professionals in a professional manner.