Service Coordinator (York County)

About the position

The Service Coordinator role at UPMC Health Plan focuses on providing service coordination services to improve health outcomes for seniors and individuals with physical disabilities in York County. This position involves a community-based approach to assess, plan, implement, coordinate, monitor, and evaluate options and services tailored to meet individual health needs. The role requires building strong relationships with team members and partner providers, managing an active caseload, and ensuring compliance with regulatory requirements.

Responsibilities
• Establish and build strong relationships with internal team members and partner providers.
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• Manage an active caseload based on state-mandated ratios according to residential setting, case intensity, and acuity.
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• Collect program data to track participant progress and ensure compliance with OPS reporting.
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• Perform administrative duties involving research, analysis, and reporting.
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• Prepare reports regarding service provision and update service plans as required.
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• Lead the Person-Centered Service Planning (PCSP) process and oversee its implementation.
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• Assist Members in obtaining HCBS services to support independent living.
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• Identify, coordinate, and assist Members in accessing needed LTSS and Medical Assistance services.
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• Inform Members about available LTSS and assist with fair hearing requests when needed.
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• Collect necessary information to inform the development of the PCSP.
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• Conduct reevaluation of the level of care annually or as needed.
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• Work with Members to maintain LTSS eligibility and explore coverage of services.
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• Coordinate with other individuals and entities for seamless care delivery.
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• Ensure compliance with state and federal regulations and maintain confidentiality.

Requirements
• Bachelor's degree in social work, psychology, or related fields with practicum experience preferred, or at least three years of experience in a social service or healthcare-related setting.
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• Preferred experience working with people with disabilities or seniors in need of LTSS.
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• Knowledge of the home and community-based service system and how to access and arrange for services.
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• Cultural competency and sensitivity to diverse backgrounds.

Nice-to-haves
• Minimum of one year of LTSS, Service Coordination, or Case Management experience.

Benefits
• $3000 sign-on bonus with an 18-month commitment.

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