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Case Management Coordinator

Talent Software Services

Pittsburgh, PA

Contractor

Re-posted 22 days ago

Job 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

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