Case Management Coordinator

TALENT Software Services; Pittsburgh (Allegheny County); On-site; USD 40,000 - 55,000; Full time

Job summary

TALENT Software Services is looking for a Case Management Coordinator for a nine-month contract in Pittsburgh, PA, with the possibility of a long-term extension. The ideal candidate will be responsible for outreach related to preventive health and will have a background in community services, Medicaid regulations, and experience with at-risk populations. Strong communication and problem-solving skills are essential. A high school diploma or GED is required.

Qualifications

• One year of Community Health Worker experience or related field.
• Lived experience in the community served.
• Experience in Medicaid regulations.
• Experience working with at-risk populations.

Responsibilities

• Initiate outreach efforts related to targeted preventive health.
• Educate members on preventive health services.
• Coordinate access to preventive health services.
• Develop rapport with members and community organizations.

Skills

Customer service

Community outreach

Problem-solving

Communication skills

Cultural competency

Education

High School Diploma or GED

Job description

Case Management Coordinator

Job Summary: Talent Software Services seeks a Case Management Coordinator for a nine‑month contract in Pittsburgh, PA, with strong possibility of long‑term extension.

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.
• Identify member barriers, develop action plans, and engage in empowering interactions to guide members toward sustainable career paths.
• Serve as a subject‑matter expert in education and employment supports within the community.
• Develop rapport with members, community‑based organizations, and provider partners to establish supportive relationships that empower members to take an active role in their health and wellness.
• Contribute to the development and preparation of educational materials for members and providers, and provide summaries 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, current information to members.
• Represent the company at community events, including those sponsored by community partners.
• Other duties as assigned or requested.

Qualifications

• High School Diploma or GED
• One 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, including customer needs assessment and meeting quality standards for services.
• Ability to interact well with peers, supervisors, and customers and work as a team member.
• Ability to solve problems independently and creatively; proactive, self‑directed, 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.
• Appreciation of cultural diversity and sensitivity toward the Medicaid population; demonstrated expertise in topics related to cultural competency and working with members with limited English proficiency.
• Awareness of issues members face related to healthcare, including transportation, childcare, lack of knowledge concerning preventive health, distrust of the system, and other personal, social, financial barriers.
• Demonstrate patience and empathy when interacting with members and all internal/external customers.