Case Management Coordinator-CW

TALENT Software Services; Pittsburgh (Allegheny County); On-site; USD 36,000 - 54,000; Full time

Job summary

TALENT Software Services is seeking a Community Health Worker to engage with members, providers, and community partners to connect individuals with preventive health services and address social needs. You will educate, refer, and coordinate care, focusing on at-risk populations and Medicaid-related barriers.

Strong communication, cultural competency, and bilingual English/Spanish abilities are essential. Travel 50-75% is required as you represent the organization at community events and partner

Qualifications

• High School Diploma or GED required.
• 1 year of Community Health Worker experience or related field.
• Lived experience in the community served.
• Certified Community Health Worker (CCHW) within 12 months of start date.
• Bilingual Spanish & English required.

Responsibilities

• Initiate outreach efforts related to preventive health and care gaps.
• Educate members on preventive health services and referrals.
• Coordinate access to services and community resources.
• Develop relationships with community partners and providers.
• Assist scheduling and address social health barriers.

Skills

Customer service

Communication skills

Cultural competency

Empathy

Bilingual (Spanish & English)

Problem solving

Teamwork

Multitasking

Education

High School Diploma or GED

Job 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 provider partners to establish a supportive relationship which 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 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.

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 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, 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

Language (Other than English):

Bilingual - Spanish & English (required)

Travel Requirement:

50-75%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS