Job title: Field Patient Care Advocate

Company: Healthcare Support

Job description: Are you a Patient Care Advocate looking for a new opportunity with a prestigious Fortune 500 healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes” to any of these questions – this is the position for you!

Details:

Length of Assignment: 3-6 month contract to hire!

Compensation Notes: 25.00-34.00/HR, depending on experience.

Shift: Monday – Friday, 8:00 AM – 5:00 PM

Daily Responsibilities for Role:

• Acts as a liaison and member advocate between the member/family, physician and facilities/agencies.

Acts as the face of WellCare in the provider community with the provider and Office staff where their services are embedded.

Advises and educates Provider practices in appropriate HEDIS measures, and HEDIS ICD-10 /CPT coding in accordance with NCQA requirements.

Assesses provider performance data to identify and strategizes opportunities for provider improvement.

Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment, Operations (claims and encounters).

Schedules doctor appointments for members with care gaps to access needed preventive care services and close gaps in care in the provider’s office.

Conducts face-to-face education with the member and their family, in the provider’s office, about care gaps identified, and barriers to care.

Conducts telephonic outreach and health coaching to members to support quality improvement, regulatory and contractual requirements.

Arranges transportation and follow-up appointments for member as needed.

Documents all actions taken regarding contact related to member.

Interacts with other departments including customer service to resolve member issues.

Refers to case or disease management as appropriate.

Completes special assignments and projects instrumental to the function of the department.

Requirements for the Role:

• Bachelor’s degree or equivalent experience (4 years)
• 2+ years of experience in patient outreach/health education from another MCO or provider office setting

• please include IB/OB call metrics and if the scheduled appointments
• Understanding of HEDIS measures and quality improvement initiatives
• Good tenure, 1-2+ years in previous role

• please provide reasons for leaving for positions less than a year
• Own personal transportation, active DL and insurance, ability to pass DMV report
• WFH capability – smart phone, private work space, high speed internet

Preferred:

• Bachelor’s degree
• License – LMSW, C-SW, LSW
• Project Management/Lead
• HEDIS
• Provider Office exp

Interested in being considered for the Role?

If you are interested in applying to this position, please click Apply Now for immediate consideration.

[email protected]

Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Expected salary:

Location: Springfield, MO – Saint Louis, MO

Job date: Sat, 21 Oct 2023 01:45:36 GMT

Apply for the job now!

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