Case Management Coordinator in York, Pennsylvania at Advance Sourcing Concepts LLC

COMMUNITY HEALTH WORKER – WELLSPAN

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, 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
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

• 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