Case Management Coordinator

• • 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

Salary : $20 - $22