Case Management Coordinator, ODP

ABOUT ABBY CARE: POWERING THE FUTURE OF CARE AT HOME FOR ALL OF AMERICA.

Abby Care is building the leading AI-native platform for family-led care. America is facing a growing care crisis. Millions more people need care at home than ever. Over 50 million family caregivers support loved ones without the tools, training, or recognition they deserve.

We believe families are the largest untapped caregiving workforce in America, and that technology can help them deliver better care while driving stronger outcomes and greater transparency across the healthcare system.

Abby Care combines clinical oversight with an AI-powered platform to train, enable, and support family caregivers in delivering high-quality care at home. Our platform helps health plans and government partners better understand, verify, and improve care in the home. We expand access to care, reduce reliance on higher-cost settings, and help ensure public dollars are spent effectively.

We are proud to partner with leading health plans, providers, and community organizations and are backed by top VCs. We envision a future where family-led care is a core part of the healthcare system. Abby Care is building that future.

Join us in solving one of the most important challenges of our time.

THE OPPORTUNITY:

We are seeking an experienced, high-level professional to join us as a Case Management Coordinator, ODP. This role reports directly to the PA ODP Program Lead and is a full-time hybrid position based in Eastern Pennsylvania.

As a Case Management Coordinator for ODP, you will go beyond standard case management & scheduling. You will serve as a strategic partner to the Program Lead, assisting in the pre-admission lifecycle and building high-level relationships with Support Coordination Organizations (SCOs) and County MH/ID offices, in addition to supporting our operational team with ODP subject matter expertise. We are looking for an IDD program veteran who understands the nuances of the Pennsylvania ODP waiver landscape and is ready to take a leadership role in strategic operations through care management and expanding our community footprint.

This is a Full-Time Hybrid opportunity based in Philadelphia, PA.

WHAT YOU’LL WORK ON:

Individual Care and Coordination (Case Management)

• Manage a caseload of ODP individuals, ensuring high-quality care across Easters/Central PA.

• Provide coaching, oversight, and mentorship to Direct Support Professionals (DSPs) to ensure adherence to ODP standards, with support from the HR/Onboarding team.

• Facilitate starts of care (in-person) for the Eastern PA region. Attend ISP meetings, SIS assessments (when necessary), and monitoring meetings. This role requires client check-ins with individual caseloads on a bi-annual basis (virtually or in-person).

• Ensure implementation of the Individual Support Plans (ISPs) is being met through updated records, documentation and quarterly reporting. (EMR oversight)

• Manage staff schedules for individual caseload. Oversee timely completion of accurate electronic documentation and service notes for caseload.

• Auditing schedules weekly in preparation for the pre-billing teams

• Provide education to families when needed on service definitions, and compliance.

Strategic Onboarding & Program Growth (Senior Duties- Lead Support)

• Provider Introductions: Lead and facilitate a portion of the provider introduction meetings with families and SCs to present the Abby Care family hybrid model.

• Pre-Admission Liaison: Alongside our intake and HR teams, act as a point of contact during the pre-admission stage for program readiness. Accessing HCSIS, AE communication and other duties necessary for a smooth transition.

• SCO Relationship Management: Frontline support for engaging with SCO leadership and individual Support Coordinators.

• Market Expansion Support: Identifying inclusive community opportunities and cultivating relationships with advocacy groups through network

Quality Assurance & Compliance (EMR/EIM) Oversight, Escalation & Mentorship (QA Development/ Lead Support)

• Provide updates to the Payroll/Pre-Billing team on documentation and EVV records to ensure they meet ODP regulatory requirements prior to submission.

• Caseload Excellence: Provide training, coaching, oversight, and mentorship to the wider incoming Care Coordination team to ensure adherence to ODP standards.

• Primary Escalation Point: Serve as the first point of contact for Community Care Coordinators (CCCs) regarding incidents, complex individual concerns, or billing obstacles.

• Audit Management: Conducts quarterly reviews of documentation, EVV, and service notes to ensure they meet ODP 6100 regulations. Completed reports and sent to SCO for visibility quarterly.

• Incident Management: Oversee the EIM (Enterprise Incident Management) process, ensuring all incidents are reported to the state accurately and within mandatory timeframes.

• Complaints and QA: tracking and managing incoming complaints for record keeping and AE communications

• QA&I/QMP: participating alongside the ODP Lead to develop and roll out Quality Assurance and Incident Management audits in addition to quarterly meetings regarding Quality Management Planning.

• Internal Reporting: Communicate high-level regional updates, systemic risks, or performance trends to the ODP Lead.

Community Strategy

• Community Calendar: Works alongside Community Event Associates (CEA) in Eastern/Central regions to support the regional community event calendar, ensuring events align with client goals and have Abby Care representation.

WHAT YOU’LL HAVE:

Required Experience (ODP Specific)

• Experience working within an Office of Developmental Programs (ODP) Role: e.g., Support Coordination, Program Management, Residential Director, for at least 2 years, or ODP various field experience for at least 4 years. Minimum 2 years of direct experience within the Pennsylvania ODP space (required).

• Strong familiarity with ODP waiver regulations, HCSIS, EVV, PROMISe, and the ISP process.

• Experience in SCO relationships, documentation systems (EMR/EHR) and knowledge of EVV requirements

• A valid driver’s license and reliable transportation.

Preferred Requirements

• Experience in Case Management, highly preferred.

• Existing relationships with County MH/ID offices and SCOs in Eastern PA.

• Bilingual skills are a significant plus.

• Ability to work outside of business hours as needed

Physical Requirements

• Speak, read, write, and understand English.

• Occasional lifting or pulling of up to 20 lbs.

• Ability to perform physical activities required for in-home visits (stairs, standing, etc.).

BENEFITS:

• Competitive compensation packages that reflect the value you bring. We reward our team for the impact of their work.

• Comprehensive health coverage that works for you. Choose from high-quality medical dental and vision options, including a $0 deductible PPO and a company-funded HSA, alongside employer-paid life and disability insurance.

• Generous paid time off. We provide policies that allow you to recharge along with 10 paid company holidays.

• Financial savings benefits to support your future. We support your financial well-being with HSA contributions, optional FSA and commuter benefits, and full coverage of all 401(k) account fees (employer match not currently offered).

• Paid parental leave to support your growing family. We provide up to 10 weeks of paid parental leave based on tenure, so you can focus on bonding and adjusting to life as your family grows.

OUR VALUES

1. Families First Redefining healthcare starts with how we treat the parents and children we serve. We go above and beyond for every family, building strong, lasting relationships. We continually ask ourselves, “Would we want this for our own families?”

2. Urgency with Precision Millions of families are waiting for care, and they cannot wait, therefore this is not your typical 9 to 5 job. We match their urgency with our own, delivering exceptional care without compromise. Here, speed and excellence go hand in hand.

3. Relentlessly Resourceful As an ambitious startup, we adapt quickly and make the most of limited time and resources. We solve challenges with creativity to deliver results without unnecessary complexity.

4. Purpose with Positivity We take our mission seriously while never losing sight of the people behind the work. Respect, kindness, memes, and coffee make us stronger as a team and better for the families we serve.

5. Driven to Redefine What’s Possible We are here to make healthcare better, which means asking hard questions, challenging outdated systems, and finding smarter, more compassionate ways to deliver care.

Automated Decision Tools

Abby Care may use automated decision tools to help match and rank candidate work experience, education and skills found in online profiles, resumes and job applications against job requirements. We believe that these tools help ensure objective, data-based decisions during the hiring process, however, all Abby Care hiring decisions involve final human review and input. If you have questions or would like to request an alternative process, contact talent@abbycare.org.