Position Title: Patient Care Advocate Work Location: Hybrid, OR (Lane and Douglas counties) Assignment Duration: 6 months Work Schedule: 40 hours/week, no OT expected Work Arrangement: HybridPosition Summary: New role, member-facing, helping members get the quality care they deserve.Background & Context:
- Health Plan, newer team going through a lot of changes and opening the role to reach out to Medicaid members in partnership with PCP offices to close specific CCO and HPRS care gaps.
- We are a newer team that's diverse, collaborative, very communicative, and treats the department as a quality family. All hands-on deck to ensure the job gets done.
Key Responsibilities:
- Regular team interaction and coordination and potential for travel in state to members or events.
- We meet virtually as a team several times a week; we work collaboratively to complete projects; and utilize Ims and emails to communicate throughout the day to ensure we get things done timely and completed.
- We are Medicaid-specific and we take pride in reaching out to our most vulnerable members to ensure proper resources.
Qualification & Experience:
- Required: (a Bachelor's Degree in Healthcare, Public Health, Nursing, Psychology, Social Work, Health Administration, or related health field or equivalent work experience required (a total of 4 years of experience required for the position); work experience should be in direct patient care, social work, quality improvement or health coaching preferably in a managed care environment. 2+ years of experience work experience should be in direct patient care, social work, quality improvement or health coaching preferably in a managed care environment.)
- Preferred: Will take RN/LPN with 4 years' experience in lieu of bachelor's degree. (can have Associate's degree).
- Required Licensure: None specified.
- Preferred Licensure: RN LPN.
- Must haves: clinical.
- Nice to haves: HEDIS.
- Disqualifiers: If no clinical experience.
- Performance indicators: ensuring the members' needs are being met.
- Top 3 must-have hard skills:
- Patient member-facing experience.
- Someone who's worked with insurance/in medical office.
- Education/Certification Required: (a Bachelor's Degree in Healthcare, Public Health, Nursing, Psychology, Social Work, Health Administration, or related health field or equivalent work experience required (a total of 4 years of experience required for the position); work experience should be in direct patient care, social work, quality improvement or health coaching preferably in a managed care environment. 2+ years of experience work experience should be in direct patient care, social work, quality improvement or health coaching preferably in a managed care environment.) Preferred: Will take RN/LPN with 4 years' experience in lieu of bachelor's degree. (can have Associate's degree)Licensure Required: Preferred: RN, LPN