Skip to Main Content
← Back to Jobs

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

Why Work Here?

Competitive pay, great hours, and the ability to advance your career.

Address

Little Rock, AR
USA