Cambia Health Solutions · 1 day ago
Care Advocate III
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Responsibilities
You'll be the first point of contact for members identified for our Care Management Programs, reaching out to them via phone or email to encourage engagement in health-related activities and provide education on preventive screenings, discharge and treatment plans.
You'll work closely with Care Managers to ensure members' needs are met, making referrals to licensed clinical staff as needed, and utilizing our care management platform to record and track member interactions.
You'll provide support, encouragement, and education to members in complex healthcare situations, such as hospital discharge or admission to a skilled nursing facility, to help them make informed decisions and navigate care options.
You'll be responsible for managing a variety of cases that require general knowledge of clinical issues and healthcare practices, providing clinical assessments within your scope of licensure, and researching and providing accurate educational information for members.
As a subject matter expert, you'll provide guidance and support to Care Advocates I and II, or individuals with less experience, assisting with training and trouble-shooting issues, and identifying areas for improvement in program processes and procedures.
Qualification
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Required
Equivalent Combination Of Education And Experience
Associate's or Bachelor’s degree and clinical certification as a Drug & Alcohol Counselor, Mental Health Certified Counselor
Or Advisor or LPN
Up to 8 years of health-related experience
At least 2 years’ experience providing direct patient care
Strong communication and customer service skills
Ability to effectively interact with individuals on sensitive topics
Listen actively and maintain confidentiality
General organization, data entry, and administrative skills
Ability to handle multiple tasks and prioritize workload
Work independently to meet deadlines and achieve operational standards
Ability to research and problem-solve creatively
Basic knowledge of medical terminology
Familiarity with health-related topics
General understanding of clinical services programs, such as Utilization Management, Care Management, and Disease Management
At least 2 years of successful Care Advocate experience
Ability to handle a wide range of member issues or interventions
Ability to engage and motivate others to take action regarding their health
Work collaboratively in a team environment
Contribute to team success
Ability to understand clinical documentation and make appropriate care management referrals
Take on additional projects to develop skills
Strong communication and writing skills on sensitive and complex topics
Expertise in health-related topics
Knowledge of clinical service department programs
Ability to research, assess, and follow up on clinical issues within role and scope of licensure
Direct patient care experience
Intermediate computer skills, including experience with healthcare systems and documentation
Benefits
Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
Annual employer contribution to a health savings account.
Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
Award-winning wellness programs that reward you for participation.
Employee Assistance Fund for those in need.
Commute and parking benefits.
Company
Cambia Health Solutions
Cambia Health Solutions is a nonprofit total health solutions company based in the Pacific Northwest/Intermountain region, serving
Funding
Current Stage
Late StageRecent News
Business Wire
2024-04-26
Business Wire
2024-04-26
2024-02-20
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