In the Care Advocate role, you'll provide telephonic, e-mail and/or community forums to outreach to members in an integrated care management model to reduce modifiable risks factors, encourage program engagement and participation through education, lifestyle management, and referrals to other internal services and resources.The end result is to achieve personal health outcomes by providing support, encouragement, and education to improve well-being and prevent/minimize disease.
At Cambia, our values are fundamental to achieving our Cause of transforming the health care industry. They guide our actions and bring diverse perspectives together to improve the health care journey better for those we serve. All eight values are equally important and linked to the others: Empathy, Hope, Courage, Trust, Commitment, Innovation, Collaboration and Accountability. These values are not just words on paper - we live them every day.
Responsibilities & Requirements
+ The Care Advocate would have a High School diploma, with a medical certification such as: Certified Nursing Assistant (CNA) or Medical Assistant and 3 years experience in health plan customer service, Clinical Intake, Provider office, or health coaching or equivalent combination of education and experience
+ Initiates outbound telephone calls or emails to members identified for Care Management Programs for defined care gap initiatives
+ Provide 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
+ Strong communication skills with the ability to effectively interact with a wide variety of individuals
+ Track record of customer service excellence
+ Organization skills and proven ability to effectively handle multiple tasks and prioritize workload
+ Knowledge of technology and applications such as Excel, Word and PowerPoint
+ Understanding of care management principles
+ Identify areas in need of improvement in all aspects of program and provide recommendations for solutions
+ Research and problem solve in a creative manner to reach a solution. Ability to identify when it is appropriate to refer to others
+ Ability to flex hours to staff early evening calls
Regence employees are part of the larger Cambia family of companies, which seeks to drive innovative health solutions. We offer a competitive salary and a generous benefits package. We are an equal opportunity employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A drug screen and background check is required.
Regence is 2.2 million members, here for our families, co-workers and neighbors, helping each other be and stay healthy and provide support in time of need. We've been here for members more than 90 years. Regence is a nonprofit health care company offering individual and group medical, dental, vision and life insurance, Medicare and other government programs as well as pharmacy benefit management. We are the largest health insurer in the Northwest/Intermountain Region, serving members as Regence BlueShield of Idaho, Regence BlueCross BlueShield of Oregon, Regence BlueCross BlueShield of Utah and Regence BlueShield (in Washington). Each plan is an independent licensee of the Blue Cross and Blue Shield Association.
If you're seeking a career that affects change in the health care system, consider joining our team at Cambia Health Solutions. We advocate for transforming the health care system by making health care more affordable and accessible, increasing consumers' engagement in their health care decisions, and offering a diverse range of products and services that promote the health and well-being of our members. Cambia's portfolio of companies spans health care information technology and software development; retail health care; health insurance plans that carry the Blue Cross and Blue Shield brands; pharmacy benefit management; life, disability, dental, vision and other lines of protection; alternative solutions to health care access and free-standing health and wellness solutions.
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Category (Portal Searching)Health Care Services