Personal Health Advocate

🔥 1 hour ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 12%

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.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Health Advocate

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

💼 Consulting

📣 Marketing

Healthcare • Consulting • Marketing

Health Advocate is a company dedicated to making healthcare easier for organizations and their members. Utilizing a combination of personal support, data, and technology, they offer a whole-person approach to improve health outcomes, reduce absenteeism and presenteeism, and lower costs. Their services include health advocacy and navigation, clinical care management, emotional health support, and personalized well-being programs. Health Advocate caters to over 12,500 organizations, offering 24/7 support in over 250 languages and ensuring HIPAA compliance and NCQA certification.

📋 Description

• Receive inbound member calls about healthcare issues including infertility, chronic disease, medications, and diagnoses • Assess member needs and determine appropriate courses of action according to policies, procedures, and KPIs • Take ownership of member cases and encourage continued engagement • Educate members about medical conditions, diagnostic testing, test results, and treatment options • Explain complex medical and benefit information clearly and compassionately • Build trusted relationships that support member participation in healthcare decisions • Provide provider and service options based on clinical needs, geographic location, and benefit coverage • Research providers through credentialing, education verification, and medical-center affiliations • Facilitate communication among members, physicians, and insurance carriers • Assist with appointments, medical-record transfers, access issues, and benefit provisions • Advocate for earlier appointments and removal of care barriers • Support prescription, pre-service fee negotiation, and authorization-related needs • Document cases accurately and timely in approved case-management systems • Place outbound follow-up calls and respond to delegate box, answer service, and after-hours calls • Escalate cases to supervisors or internal clinical resources • Stay current on patient care procedures, diagnoses, authorizations, denials, and healthcare practices • Mentor new team members and collaborate with colleagues to maintain service excellence and balanced workflows • Establish professional relationships with internal and external customers and meet departmental goals

🎯 Requirements

• BSN or RN degree from an accredited college or university (required) • Active and unrestricted State or Multi-State Registered Nurse license (required) • Minimum 3–5 years of clinical and/or medical management experience • Behavioral and/or mental health experience strongly preferred • Strong understanding of medical terminology and healthcare systems • Excellent verbal communication skills and professional phone presence • Ability to explain complex healthcare topics to diverse populations • Highly effective listening, problem-solving, and issue-resolution skills • Strong organizational and administrative abilities • Proficiency with Microsoft Word and Excel • Ability to work effectively in a collaborative, remote team environment • Dedicated HIPAA-compliant workspace with reliable internet access • Ability to perform prolonged sitting, continuous computer and phone use, repetitive motion, typing, concentration, reading, and ongoing verbal and written communication

🏖️ Benefits

• Training provided to do the job well • Supportive supervisors and staff • Opportunities for career growth and advancement • Full-time remote work • Dedicated HIPAA-compliant workspace requirement • Reasonable accommodations for individuals with disabilities

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