Job Description

Job Title: Community Health Worker - USC Only - Contract to Hire
Location: Must reside in PIttsburgh, PA - HYBRID role, 3 days/week onsite
Schedule: Monday - Friday typical office hours

Responsibilities:
• Educate members about additional opportunities for public and private benefits.
• Initiate outreach efforts, telephonically and when appropriate face to face , related to targeted preventive health, , care transitions and chronic condition initiatives.
• Educate member(s) on the importance of targeted preventive health services, assess opportunity for care management intervention and make appropriate referrals, including referrals to the Behavioral Health Managed Care Organization (BHMCO) and additional public and private benefits as needed. Contact member(s), providers and community agencies to coordinate access to preventive health services.
• Develop a rapport with members and community centers to establish a supportive relationship which empowers members to take an active role in their health and wellness.
• Assist members with completing a Health Risk Assessment, identifies/providing direction to managing healthcare barriers (i.e., knowledge deficit, transportation, financial), scheduling appointments, and answering questions.
• Understand the Organization's lines of business and benefits for members in order to provide accurate and current information to member in the community.
• Contribute to the development and preparation of educational materials for members and providers.
• Provide summary and outcomes of training 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.
• Represent the company at community events, including events sponsored by community centers.
• Collaborate with human services providers such as Head Start Programs, WIC, community centers, and homeless shelters; as well as state agencies such as Children and Youth Services (CYS) and juvenile probation in the identification and outreach to members in need of services.
• Other duties as assigned or requested.

Required Qualifications:
• This is a telephonic role. Must have excellent communication skills.
• 1+ years of experience in a health care related customer service environment that would demonstrate the ability to positively impact the engagement of members in the organization's condition and case management programs
• High School Diploma/GED
• 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 and members with disabilities and chronic conditions 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
• Proficient computer skills
• Data entry skills
• Must be professional
• Travel up to 10-25%, if at all

Preferred Qualifications:
• Certified Community Health Worker (CCHW) Certification
• Basic medical terminology background
• Experience with Medicaid and individuals with disabilities and chronic health conditions.
• Community Health Worker experience