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Patient Care Advocate

Ajilon Little Rock, AR
  • Expired: over a month ago. Applications are no longer accepted.

Patient Care Advocate

Ajilon is looking to hire a Patient Care Advocate in Little Rock, AR. This contract requires an individual who can reach far beyond with great analytical capabilities, interpersonal skills, and an excellent detail-oriented mentality. Apply now if you meet the qualifications!

Responsibilities

· Acts as a liaison and member advocate between the member/family, physician and facilities/agencies

· Acts as the face of the company in the provider community with the providers' and offices staff where their services are embedded

· Advises and educates Provider practices in appropriate HEDIS measures, and HEDIS ICD-10 /CPT coding in accordance with NCQA requirements

· 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

· Interacts with other departments including customer service to resolve member issues

· Refers to Case or disease management as appropriate

· Completes special assignments and projects instrumental to the function of the department

· Performs other duties as assigned

Experience & Education

· 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

· 2+ years of experience in Social work experience

· Experience in managed care

If you feel you are qualified for this position, then apply today!

Ajilon

Address

Little Rock, AR
USA