Patient Care Advocate

🔥 2 minutes ago

🌾 Iowa – Remote

🌾 Iowa – Remote

💵 $27 - $48 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Work with members and providers to close care gaps and remove barriers to care • Improve member and provider experience through outreach and face-to-face interaction • Collaborate with providers in the field and educate them on HEDIS measures and coding • Support quality improvement interventions and provider audits • Assist in resolving deficiencies affecting compliance with State and Federal HEDIS standards • Conduct telephonic outreach and health coaching to members embedded in provider offices • Educate members and families about identified care gaps and barriers to care • Schedule doctor appointments and coordinate transportation, follow-up appointments, community resources, and affinity programs • Act as liaison and member advocate between members/families, physicians, facilities, and agencies • Serve as Centene/WellCare representative in provider communities • Assess provider performance data and identify improvement opportunities • Collaborate with Provider Relations on Quality, Risk Adjustment, Operations, claims, and encounters • Document all member-related contact actions • Interact with customer service and other departments to resolve member issues • Refer members to case or disease management as appropriate • Complete special assignments and other duties as assigned • Comply with all policies and standards

🎯 Requirements

• Remote opportunity for Iowa residents • Bachelor's Degree in Healthcare, Public Health, Nursing, Psychology, Social Work, Health Administration, or related health field, or equivalent work experience • A total of 4 years of experience required for the position when using equivalent work experience • 2+ years of experience in direct patient care, social work, quality improvement, or health coaching • Experience preferably in a managed care environment • One of the following preferred: Licensed Practical Nurse (LPN), Licensed Master Social Work (LMSW), Certified Social Worker (C-SW), Licensed Social Worker (LSW), or Licensed Registered Nurse (RN) • Must maintain confidentiality of business and protected health information • For Michigan plan only: Driver's license required

🏖️ Benefits

• Health insurance • 401K • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Competitive pay • Additional forms of incentives may be included in total compensation • Equal opportunity employer committed to diversity

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