Patient Care Advocate

at Actalent in Hoffman Estates, Illinois, United States

Job Description

Description:

+ Works with members and providers to close care gaps ensure barriers to care are removed and improve the overall member and provider experience through outreach and face-to-face interaction with members and providers at large IPA and/or group practices.

+ Serves to collaborate with providers in the field to improve HEDIS measures and provides education for HEDIS measures and coding.

+ Supports the implementation of quality improvement interventions and audits in relation to plan providers.

+ Assists in resolving deficiencies impacting plan compliance to meeting State and Federal standards for HEDIS.

+ Conducts telephonic outreach while embedded in the providers’ offices to members who are identified as needing preventive services in support of quality initiatives and regulatory/contractual requirements.

+ Provides education to members regarding the care gaps they have when in the providers office for medical appointments.

+ Schedules doctor appointments on behalf of the practitioner and assists member with wraparound services such as arranging transportation connecting them with community-based resources and other affinity programs as available.

+ Maintains confidentiality of business and protected health information.

Additional Skills & Qualifications:

+ License/Certification: One of the following is preferred. Licensed Practical Nurse LPN Licensed Master Social Work LMSW Certified Social Worker C-SW Licensed Social Worker LSW Licensed Registered Nurse RN preferred.

+ 2 years of experience work experience should be in direct patient care social work quality improvement or health coaching preferably in a managed care environment.

Experience Level:

Intermediate Level

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

+ Hiring diverse talent

+ Maintaining an inclusive environment through persistent self-reflection

+ Building a culture of care, engagement, and recognition with clear outcomes

+ Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.