[Hiring] Case Management Coordinator @Highmark Health

Role Description

One of Airetel Staffing's valued clients is looking for a Case Management Coordinator located in Pittsburgh region.

Wholecare

Must be bilingual in English and Spanish.

Candidate must take "Housing Coordinator" Glider assessment (Highmark-30231161) and provide link on assessment.

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.

Qualifications

• High School Diploma or GED (Required)
• 1 year of Community Health Worker experience or related field (Required)
• Lived experience in the community served (Required)
• Experience in Medicaid regulations (Preferred)
• Experience in customer service/member services within the healthcare sector (Preferred)
• Experience working with at-risk populations (Preferred)

Requirements

• Certified Community Health Worker (CCHW) - PA Certification Board within 12 months of start date (Required)
• Bilingual – Spanish & English (required)
• Must reside within one of the following PA counties: Adams, Lancaster, Lebanon, York
• Remote position with local travel required 50-75% (travel is reimbursable)
• Schedule includes regular business hours Monday – Friday with occasional evening or weekend availability for community events
• Bill rate: $30-33
• Must be US Citizen

Skills

• Knowledge of principles and processes for providing customer service, including customer needs assessment and 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, 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.
• Have an appreciation of cultural diversity and sensitivity towards the Medicaid population with demonstrated expertise in topics related to cultural competency.
• 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.