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Patient Advocate

4 months ago

Kingwood, United States Alliance MSO Full time

Patient Advocate

We are currently seeking a compassionate, experienced, and highly organized Patient Advocate to join our growing team of professionals. In this role, you will play an essential part in our ability to provide exceptional care by managing the individual care of our members. You will be responsible for helping members of the health plan to navigate and access services, identify and overcome barriers to care, provide primary health education and health status assessment, adopt healthy behaviors, and document any interactions with plan members. In addition, the PA will provide social support and advocate for member health needs to improve care and health outcomes.

PAs will work closely with plan members, care coordinators, the member services team, and health care providers to coordinate and improve patient care and ensure the triple aim of the best care at the lowest cost for the entire group/population served. PAs will primarily be working on the telephone from the main office in Kingwood but may, on occasion, need to work directly with identified high-risk members in the community.

The successful applicant must have a compassionate nature, be knowledgeable about health care practices, and provide exceptional customer service.

**Responsibilities**:

- Act as an advocate and liaison between the member, provider, health plan, and applicable service agencies
- Effectively work with people from diverse backgrounds to identify and reduce cultural and socio-economic barriers to care
- Provide culturally appropriate health education on chronic disease prevention, maternal and child health, and physical activity
- Help members develop health management plans and goals
- Provide ongoing follow-up, essential motivational interviewing, and goal setting with members
- Follow-up with members via phone calls
- Help members in utilizing resources, including scheduling appointments, assisting with identifying services, identifying a care team, and preventing financial hardship
- Assist members in accessing health-related services, including obtaining a primary care provider, overcoming barriers to obtaining needed medical care and social services
- Be knowledgeable about plan benefits and resources and provide referrals to patients as appropriate
- As requested, attend regular staff meetings, conference calls, training, and other meetings
- Manage an assigned caseload of members
- Work collaboratively and effectively within the team
- Document case activities, plan of care and results while strictly adhering to the policies and procedures
- Other duties as assigned

Requirements and Qualifications
- Associates degree or above in a relevant field or comparable experience. Pertinent additional certifications are a plus
- Experience in healthcare, mental health field, and/or health insurance plans
- Experience as a patient advocate or other relevant role
- Awareness of, and commitment to, all requirements, both legal and corporate
- Solid computer skills, including Microsoft Office
- Clerical skills with the ability to type 50 WMP
- Familiarity with office equipment and phone systems
- Excellent phone etiquette
- Able to diffuse conflicts and disagreements, then find a workable solution
- Exceptional communication skills, both written and verbal
- Superior organizational and interpersonal skills
- Compassionate and kind demeanor
- Able to multitask and prioritize tasks
- Able to act decisively and maintain discretion
- Knowledge of medical terminology
- Willingness to work in a dynamic environment

**Benefits**:
We strive to offer an environment that provides our employees with the right balance between work and personal life. We offer a comprehensive benefits package including:

- Base Salary
- Health Insurance (Benefit after 60 days 100% paid by company for the employee)
- Paid vacation, personal days, and holidays
- Positive, friendly, and helpful atmosphere

(40 hours)

Required education

Minimum of Associate Degree (or comparable experience)

Pay: $19 to $21 an hour (Guaranteed Raises Annually)

Schedule
- 8-hour shift (8 am to 5 pm) (1 Hour Lunch)
- Monday to Friday

Work Location: One location - Kingwood Texas

Pay: $19.00 - $21.00 per hour

Expected hours: 40 per week

**Benefits**:

- 401(k)
- Health insurance
- Paid time off

Schedule:

- 8 hour shift

Ability to Relocate:

- Kingwood, TX 77339: Relocate before starting work (required)

Work Location: In person