Quality Care Member Advocate
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Location: Remote-AZ; candidates must be based in Maricopa County. This hybrid role combines approximately 50% remote work with 50% in-person home visits and community-based assessments. Schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. MST, with flexibility required for member visits. Mileage reimbursement is provided for community travel.
Salary: $27.02–$48.55 per hour.
Company
connects people with healthcare services and resources to improve health outcomes and access to care.
What you will do
- Conduct community outreach, home visits, and assessments to identify care gaps, member needs, and social determinants of health.
- Help members navigate healthcare and social service systems, schedule appointments, understand care plans, and access benefits.
- Educate members on preventive care, chronic condition management, and available community resources.
- Collaborate with providers and internal Quality, Care Management, and Provider Relations teams on care coordination and quality improvement.
- Document member interactions, referrals, and care gap closures in appropriate systems.
- Monitor outreach effectiveness, support seasonal campaigns, and build relationships with community organizations.
Requirements
- Bachelor's degree in Social Work, Public Health, Nursing, or a related field, or equivalent experience.
- At least 2 years of experience in community health or healthcare quality.
- Experience working with health plan members and navigating community resources.
- Familiarity with Medicaid, Medicare, and quality measures such as HEDIS.
- Strong communication and interpersonal skills.
- Compliance with applicable state and federal regulations and organizational policies.
Nice to have
- LCSW license preferred.
- RN state or compact-state licensure preferred.
Culture & Benefits
- Hybrid work combining remote activities with community-based member visits.
- Health insurance, 401(k), and stock purchase plans.
- Tuition reimbursement, paid time off, and holidays.
- Mileage reimbursement for community travel.
- Flexible approach to work schedules based on member needs and visit requirements.
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