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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:
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
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.
- 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
- Certified Community Health Worker (CCHW) - PA Certification Board within 12 months of start date.
- 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
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