Case Management Coordinator-CW

Talent Software Services, Inc.

Pittsburgh, PA

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JOB DETAILS

SALARY

$15–$18 Per Hour

SKILLS

Calendar Management, Case Management, Childcare, Communication Skills, Community Health, Customer Support/Service, Customer/Client Research, Diversity, English Language, Healthcare, Homeless Services, Medicaid, Multilingual, Multitasking, Organizational Skills, Presentation/Verbal Skills, Preventive Medicine, Problem Solving Skills, Quality Metrics, Regulations, Risk, Spanish Language, Willing to Travel, Writing Skills

LOCATION

Pittsburgh, PA

POSTED

4 days ago

Description:
ESSENTIAL RESPONSIBILITIES:

" Initiate outreach efforts, both face-to-face and telephonically, related to targeted
preventive health, care gaps, maternity, care transitions, health-related social
needs, and chronic condition initiatives. Educate members on the importance of
targeted preventive health services, assess opportunities for care management
intervention, and make appropriate referrals, including referrals to community
resources as needed. Contact members, providers, and community agencies to
coordinate access to preventive health services and/or assistance to address
health-related social needs.
" Develop a rapport with members, community-based organizations, and providers
partners to establish a supportive relationship that empowers members to take
an active role in their health and wellness. Collaborate with human services
providers such as Head Start Programs, WIC, community centers, and homeless
shelters, in the identification and outreach to members in need of services.
" Contribute to the development and preparation of educational materials for
members and providers. Provide summary and outcomes of outreach attempts and
community education to management and peers.
" Participate in the development of effective programs, measurable, le and
innovative, with a special emphasis on at-risk members. Conduct SDOH
assessments as needed and assist with scheduling appointments, addressing
social health barriers, and answering questions.
" Understand the Organization's lines of business and benefits for members in order
to provide accurate and current information to members.
" Represent the company at community events, including events sponsored by
community partners.

" Other duties as assigned or requested.

EDUCATION
Required
" High School Diploma or GED

EXPERIENCE
Required
" 1 year of Community Health Worker experience or related field
" Lived experience in the community served

Preferred
" Experience in Medicaid regulations
" Experience in customer service/member services within the healthcare sector
" Experience working with at-risk populations

LICENSES OR CERTIFICATIONS
Required
" Certified Community Health Worker (CCHW) - PA Certification Board within 12
months of the start date.

SKILLS
" Knowledge of principles and processes for providing customer service. This
includes customer needs assessment, meeting quality standards for services
" The ability to interact well with peers, supervisors, and customers, and work as a
team member
" Ability to solve problems independently and creatively, and be proactive self-directedd, assertive,ve and creative in problem solving and system planning
" Ability to handle many tasks simultaneously and respond to customers and their
issues promptly
" Possess good written and oral communication skills
" Have an appreciation of cultural diversity and sensitivity towards the Medicaid
population with demonstrated expertise in topics related to cultural competency
including working with members with limited English proficiency.
" Be aware of issues members face related to healthcare, including transportation,
childcare, lack of knowledge concerning preventive health, distrust of the sy,steAs m as
well as other personal, social, and financial barriers
" Must demonstrate patience and empathy when interacting with members and all
internal/external customers

Language (Other than English):
Bilingual Spanish & English (required)

Travel Requirement:
50-75%

About the Company

Talent Software Services, Inc.

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