Patient Care Advocate - Full-time / Part-time

A growing managed care company located in New York City is seeking a dedicated and compassionate professional for a promising opportunity on their staff as a Patient Care Advocate. In this role, the Patient Care Advocate works with members and providers to close care gaps, ensure barriers to care are removed, and improve the overall member and provider experience through outreach and face-to-face interaction with members and providers at large IPA and/or group practices. Apply today!

Managed Care Company

The Patient Care Advocate:

• Acts as a liaison and member advocate between the member/family, physician and facilities/agencies
• Assesses provider performance data to identify and strategize opportunities for provider improvement
• Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment, Operations (claims and encounters)
• Schedules doctor appointments for members with care gaps to access needed preventive care services and close gaps in care in the provider's office
• Conducts face-to-face education with the member and their family, in the provider's office, about care gaps identified, and barriers to care
• Conducts telephonic outreach and health coaching to members to support quality improvement, regulatory and contractual requirements
• Arranges transportation for members as needed
• Arranges follow-up appointments for member as needed
• Documents all actions taken regarding contact related to member

• Bachelor's degree in Healthcare, Public Health, Nursing, Psychology, Social Work, Health Administration, or related health field
• 2+ years of experience in HEDIS, quality improvement, member outreach and/or health coaching in a managed care environment
• Demonstrated interpersonal/verbal communication skills
• Data Entry skills
• Ability to create, review and interpret treatment plans
• Ability to effectively present information and respond to questions from families, members, and providers
• Knowledge of healthcare delivery
• Knowledge of community, state and federal laws and resources
• Proficient in Microsoft Office programs such as Word, Excel and Outlook
• Ability to use and navigate health service management systems 
• Healthcare Management Systems knowledge

• 2+ years of experience in social work
• Other experience in managed care (Preferred) 
• Licensed Clinical Social Worker (LCSW), Licensed Social Worker (LSW), Certified Social Worker (C-SW), Certified Social Worker in Health Care (C-SWHC), Licensed Clinical Social Worker Certified (LCSW-C)
• Bilingual, English and Spanish