Patient Care Advocate

Position Title: Patient Care Advocate

Work Location: Hybrid, OR (further down I-5; Lane and Douglas counties)

Assignment Duration: 6 months

Work Schedule: 40 hours/week, no OT expected

Work Arrangement: Hybrid

Position 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.

• 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.

• 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:
  
  
  
  1. Patient member-facing experience.
  2. Someone who's worked with insurance/in medical office.
  
  
  
  
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  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