Job Title: Clinical Services-CW - Case Management Coordinator-CW
Location: Pittsburgh, PA
Pay Rate: $18/hr
Start/End Dates: 8/17/2026 - 12/26/2026
Job Description:
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:
Bilingual Spanish & English (required)
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
Travel Requirement: 50-75%
Candidate Must reside within one of the following PA counties:
Adams
Lancaster
Lebanon
York
Candidate must take "Housing Coordinator" Glider assessment
IMPORTANT TO FOLLOW!
A) The candidate must be bilingual English/Spanish,
B) They must be willing to obtain PA Certified Community Health Worker certification within 1 yr of hire.
C) They must be willing/able to travel up to 50-75% of the time locally,
D) They must reside in one of the following PA counties: Adams, Lancaster, Lebanon, York
Must be US Citizen
...Shandong province, China. 2. Contract Term: one academic year, starts as soon as work visa to be issued. 3. Job Position: English Teacher 4. Students Age: 3-12 years old. 5. Work Days: work 5 days per week, 2 days off per week. Remuneration and Benefits: 1....
As an independent contractor, you'll enjoy: You get 70% of Linehaul Revenue for the freights you haul. Average Gross Earning Per week: $2,500 - $6,000 Receive 100% of fuel surcharges for shipments hauled. Fuel Discounts: At your option, save at the pump with...
...Levi & Korsinsky, LLP, a national firm with offices in New York, Washington, D.C., California, and Connecticut, is seeking admitted document review attorneys with at least a year of experience in Relativity or a similar document review software. Resumes will be...
Deloitte Global is the engine of the Deloitte network. Our professionals reach across disciplines and borders to develop and lead global initiatives. We deliver strategic programs and services that unite our organization. Work you'll do Position Overview: Deloitte...
...Job Description Our client is looking for an experienced Mens Apparel Designer to join their collaborative design and product team supporting a major private label retail business. This individual will help create and develop mens product across a range of categories...