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Skills
Calendar Managementunmatched
Case Managementunmatched
Childcareunmatched
Communication Skillsunmatched
Community Healthunmatched
Community Supportunmatched
Contract Managementunmatched
Customer Support/Serviceunmatched
Customer/Client Researchunmatched
Diversityunmatched
English Languageunmatched
Healthcareunmatched
High School Diplomaunmatched
Medicaidunmatched
Multitaskingunmatched
Organizational Skillsunmatched
Presentation/Verbal Skillsunmatched
Preventive Medicineunmatched
Problem Solving Skillsunmatched
Quality Metricsunmatched
Regulationsunmatched
Riskunmatched
Team Playerunmatched
Training/Teaching Materialsunmatched
Writing Skillsunmatched
Description
Case Management Coordinator
Job Summary: Talent Software Services is in search of a Case Management Coordinator for a contract position in Pittsburgh, PA. The opportunity will be nine months with a strong chance for a long-term extension.
Primary Responsibilities/Accountabilities:
• 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.
Identify member barriers, develop action plans, and engage in empowering interactions to guide members towards sustainable career paths.
Serve as a subject matter expert in education and employment supports within the community.
Develop a rapport with members, community-based organizations and provider partners to establish a supportive relationship which empowers members to take an active role in their health and wellness.
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 programs that are effective, measurable and innovative, with a special emphasis on reaching 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 member.
Represent the company at community events, including events sponsored by community partners.
Other duties as assigned or requested.
Qualifications:
High School Diploma or GED
1 year of Community Health Worker experience or related field
Lived experience in the community served
Experience in Medicaid regulations
Experience in customer service/member services within the healthcare sector
Experience working with at-risk populations
LICENSES OR CERTIFICATIONS
Certified Community Health Worker (CCHW) - PA Certification Board within 12 months of start date.
Preferred:
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, selfdirected, assertive 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 system as well as other personal, social, financial barriers
Must demonstrate patience and empathy when interacting with members and all internal/external customers
If this job is a match for your background, we would be honoured to receive your application!
Providing consulting opportunities to TALENTed people since 1987, we offer a host of opportunities, including contract, contract to hire, and permanent placement. Let's talk