Healthcare Advocate

3 days ago


Albuquerque, New Mexico, United States Health Care Service Corporation Full time

At Health Care Service Corporation, we empower our employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

We are seeking a skilled Healthcare Advocate to join our team.

This role is responsible for contacting identified members to inform and educate them on healthcare programs to address their personal health plan needs, engaging the member in discussion of adherence to personal health plans, responding to inquiries from members, and supporting the clinicians in the Medical Management department with their provider and member activities.

Key Responsibilities:

  • Develop and implement personalized care plans to meet the unique needs of each member.
  • Provide education and support to members on healthcare programs and services.
  • Collaborate with clinicians and other healthcare professionals to ensure seamless care coordination.
  • Respond to member inquiries and concerns in a timely and professional manner.
  • Support the Medical Management department with provider and member activities.

Requirements:

  • Bachelor of Social Work or Psychology OR LVN, LPN with 1 year experience in managed care systems OR RN OR 3 years care coordination for a state managed or waiver program OR 3 years managed care systems experience.
  • Knowledge of medical terminology.
  • Experience coordinating member medical related needs, providing assistance to members, and analyzing member needs.
  • PC proficiency including Microsoft Office applications.
  • Customer service skills.
  • Verbal and written communications skills, including developing written correspondence to members and to other department personnel, and coaching skills, including motivational interviewing, to educate members on medical issues.

This will be a Work From Home position visiting members in the Albuquerque, NM and surrounding areas.

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued.

Base Pay Range: $42.68


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