Care Advocate II

Nursing Jobs

Full-Time

Entry Level

Remote

Not defined

10 Jun → 10 Jul

Cambia Health Solutions

Portland, OR, USA

About Company

Cambia Health Solutions is dedicated to making the health care experience simpler, better and more affordable for people and their families, including the 3.3 million people we serve through our regional health plans. Cambia is deeply rooted in a 100-year legacy of transforming the industry and the way people experience health care. And we’re committed to delivering a seamless, personalized health care experience for the next 100 years.
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Job Description

The Care Advocate II participates in the integrated approach to care management for members. This role provides outreach as part of specific care gap initiatives or as an on-going part of a care management team. The position works with members to achieve their personal health outcomes by removing barriers and providing support and education. The Care Advocate II encourages engagement in health-related activities and programs and provides appropriate referrals to internal or external services and resources.

Job Responsibilities

  • Initiates outbound telephone calls or emails to members identified for the Regence Care Management Programs for defined care gap initiatives
  • Utilizes motivational interviewing and behavioral change principles to encourage engagement in health-related activities and programs
  • Educates members by providing the tools and information they need to adhere to nationally recognized preventive screenings, discharge and treatment plans
  • Works with a Care Manager to assure that member needs are met through identification and referral to appropriate resources
  • Makes referrals to licensed clinical staff as appropriate
  • Utilizes the applicable care management platform to appropriately record and track member interactions
  • Initiates outbound telephone calls to members in potentially complex healthcare situations (e.g. hospital discharge or admission to skilled nursing facility)
  • Provides members with support, encouragement and education to improve the member’s ability to make informed healthcare decisions, navigate care options and to take actions in order to improve well-being and prevent/minimize disease
  • May assist with activities in support of the Clinical Services Team, including but not limited to program communications and training
  • Identifies areas in need of improvement in all aspects of program and provide recommendations for solutions

Requirements / Qualifications

  • Strong communication skills with the ability to effectively interact with a wide variety of individuals on highly sensitive topics
  • Strong customer service skills including listening, patience, empathy and maintaining confidentiality
  • General organization, data entry and administrative skills
  • Proven ability to effectively handle multiple tasks and prioritize workload
  • General computer skills (including use of Microsoft Office, Outlook, Internet search)
  • Ability to work a varied schedule such as early evening.
  • Basic knowledge of medical terminology and familiarity with topics such as specific disease and lifestyle topics and related resources
  • Ability to work independently, to prioritize work, meet deadlines and achieve operational standards
  • Ability to research and problem solve in a creative manner to reach a solution
  • Ability to identify when it is appropriate to refer to others
  • Knowledge of health-related topics and a general understanding of clinical services programs such as Utilization Management, Care Management and Disease Management. Typically demonstrated by at least 2 years of successful Care Advocate experience and ability to handle a wide range of member issues or interventions
  • Proven ability to effectively engage and motivate others to take action regarding their health
  • Proven ability to work collaboratively in a team environment and actively contribute to a team success
  • Ability to understand clinical documentation such as hospital discharge plans or clinical progress notes to make appropriate care management referrals
  • Demonstrated ability to be pro-active such as taking on additional projects and continuing to develop skills

How To Apply

Apply directly on the company's website.

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