Care Advocate II or III, DOE

Regence BlueShield of Idaho; Boise (ID); Remote; Full time

Job summary

A leading health-care organization, Regence BlueShield of Idaho, seeks Care Advocates to manage members' health outcomes and provide personalized support. Ideal candidates will possess a mix of education, certifications, and experience related to health care. As part of a compassionate team, you'll directly influence member engagement and health management.

Benefits

Medical, dental, vision coverage

Generous paid time off

Market-leading retirement plan

Wellness programs

Qualifications

• Associate's degree or clinical certification for Care Advocate II.
• Bachelor's degree or clinical certification for Care Advocate III.
• 5+ years of health-related experience preferred.

Responsibilities

• Connect with members for care management through calls or emails.
• Educate members on health-related activities and programs.
• Provide referrals to appropriate resources.

Skills

Strong communication skills

Customer service skills

Organizational skills

Digital literacy

Knowledge of medical terminology

Problem-solving ability

Team collaboration

Education

Associate's degree or clinical certification

Bachelor’s degree

Job description

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Who We Are Looking For

Every day, Cambia’s dedicated team of Care Advocates are living our mission to make health care easier and lives better. As a member of the Nursing/Behavioral Health Advocates team, the Care Advocate participates in the coordinated approach to care management for members. This role provides outreach as part of specific Maternity Care initiatives or as an ongoing 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 encourages engagement in health-related activities and programs and provides appropriate referrals to internal or external services and resources – all in service of making our members’ health journeys easier.

Do you have a passion for serving others and learning new things? Then this role may be the perfect fit.

Qualifications

What You Bring to Cambia:

The Care Advocate II would have an Associate's degree or clinical certification such as a CNA or Medical Assistant, and 5 years of health-related experience including at least 2 years of Care Advocate or similar experience, or an equivalent combination of education and experience.

The Care Advocate III would have an Associate's or Bachelor’s degree and clinical certification as a Drug & Alcohol Counselor, a Mental Health Certified Counselor or Advisor or LPN, and 8 years of health-related experience with at least 2 years’ experience providing direct patient care or an equivalent combination of education and experience.

Skills And Attributes

• Strong communication skills with the ability to effectively interact with a wide variety of individuals on highly sensitive topics.
• Strong customer service skills including active listening, patience, and compassion, all while maintaining confidentiality.
• General organization, data entry and administrative skills.
• Proven track record of successfully handling multiple tasks and prioritizing workload.
• General digital literacy (including use of Microsoft Office, Outlook, Internet search).
• Basic knowledge of medical terminology and familiarity with topics such as specific disease and lifestyle topics and related resources.
• Can work independently, prioritize work, meet deadlines, and achieve operational standards.
• Ability to research and problem-solve in a creative manner.
• 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. This is 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 actively engage and motivate others to take action regarding their health.
• Proven ability to work in a team environment and actively participate in 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 proactive such as taking on additional projects to further develop skills.
  
  

What You Will Do At Cambia

• Connects with members identified for the Regence Pregnancy Program via outbound phone calls or emails.
• Applies 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 participate in 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, including referrals to licensed clinical staff (as appropriate).
• Uses the applicable care management platform to appropriately record and track member interactions.
• Initiates outbound telephone calls to members who are hospitalized or utilizing the emergency room to provide assistance.
• Provides members with support, reassurance, 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 the program, and provides recommendations for solutions.
  
  

Work Environment

• Work performed in home office environment, conducive to performing confidential telephonic meetings.
• May be required to work alternate work schedule or overtime.
• May be required to work outside normal schedule.
  
  

The expected hiring range for a Care Advocate II is $27.20 - $35.10/hour depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 5%. The current full salary range for this role is $27.20 - $45.70/hour.

The expected hiring range for a Care Advocate III is $31.10 - $38.90/hour depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 10%. The current full salary range for this role is $31.10 - $50.60/hour.

About Cambia

Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.

Why Join the Cambia Team?

At Cambia, You Can

• Work alongside diverse teams building cutting-edge solutions to transform health care.
• Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
• Grow your career with a company committed to helping you succeed.
• Give back to your community by participating in Cambia-supported outreach programs.
• Connect with colleagues who share similar interests and backgrounds through our employee resource groups.
  
  

We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.

Benefits

In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
• Annual employer contribution to a health savings account.
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
• Award-winning wellness programs that reward you for participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.
  
  

Learn More About Our Benefits.

We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.

We are an Equal Opportunity employer dedicated to 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 background check is required.

If you need accommodation for any part of the application process because of a medical condition or disability, please email [e-mail]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Legal

• Industries

  Hospitals and Health Care

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