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Patient Advocate Professional

1 week ago


New York, New York, United States MetroPlusHealth Full time
Job Title: Patient Advocate Professional

Salary: $75,000 - $95,000 per year

MetroPlusHealth is seeking a compassionate and detail-oriented Patient Advocate Professional to join our team. In this role, you will be responsible for coordinating care and advocating for our members to ensure they receive the highest quality care and support.

  • About MetroPlusHealth: Our organization is committed to providing high-quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens, and Staten Island.
  • Job Description: The Patient Advocate Professional will work closely with members, their families, primary caregivers, and healthcare providers to identify risk factors, strengths, challenges, and service needs. Key responsibilities include:
  • Reviewing and evaluating assessment and UAS information
  • Developing working relationships with primary care physicians (PCPs)
  • Identifying risk categories and assigning them to members
  • Developing individual member disaster plans
  • Creating formal care plans for all necessary services
  • Monitoring member conditions and identifying clinical issues requiring immediate attention
  • Prior-approving requests for additional services and referring denials, reductions, or limitations to the Medical Director
Professional Competencies:
  • Integrity & Trust
  • Customer Service Focus
  • Functional/Technical Skills
  • Written/Oral Communication