Clinical - Patient Care Advocate

Pyramid Consulting Healthcare; United States; Remote; USD 33.000 - 36.000; Teilzeit

Benefits dieser Stelle

Health insurance

401(k) plan

Paid sick leave

Zusammenfassung

Pyramid Consulting, Inc. is seeking a Clinical - Patient Care Advocate for a 06+ months contract, fully remote in the United States. The role focuses on member liaison, care coordination, and education to improve preventive care delivery.

Applicants should have 4+ years in direct patient care or related fields, a health-related Bachelor's degree, and relevant licensure is a plus. The position offers comprehensive benefits and a supportive healthcare team.

Qualifikationen

• 4+ years of experience in direct patient care, social work, quality improvement, or health coaching.
• Bachelor's degree in Healthcare, Public Health, Nursing, Psychology, Social Work, Health Administration, or related health field.
• Licensure is a plus (LPN, LMSW, C-SW, LSW, RN).

Aufgaben

• Act as a liaison between members, families, physicians, and facilities.
• Educate provider practices on HEDIS measures and coding per NCQA requirements.
• Assess provider performance data to identify opportunities for improvement.
• Schedule doctor appointments for preventive care services.
• Educate members and families about care gaps during face-to-face sessions.
• Perform telephonic outreach and health coaching to support quality initiatives.
• Arrange transportation and follow-up appointments for members.
• Document all member contact actions.
• Collaborate with other departments to resolve member issues.
• Complete special assignments and projects as needed.

Kenntnisse

Patient care experience

Healthcare coordination

Ausbildung

Bachelor's degree in health field

Jobbeschreibung

Immediate need for a talented Clinical - Patient Care Advocate. This is a 06+ Months Contract opportunity with long-term potential and is located in US (Remote).

Job ID:26-34819

Pay Range: $24 - $26/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Act as a liaison and member advocate between members, families, physicians, and facilities.
• Educate provider practices on HEDIS measures and coding in accordance with NCQA requirements.
• Assess provider performance data to identify opportunities for improvement.
• Schedule doctor appointments for members to access preventive care services.
• Conduct face-to-face education with members and their families about care gaps.
• Perform telephonic outreach and health coaching to support quality improvement initiatives.
• Arrange transportation and follow-up appointments for members as needed.
• Document all actions taken regarding member contact.
• Collaborate with other departments to resolve member issues.
• Complete special assignments and projects as needed.

Key Requirements and Technology Experience:

• 4+ years of experience in direct patient care, social work, quality improvement, or health coaching, preferably in a managed care environment.
• A Bachelor's Degree in Healthcare, Public Health, Nursing, Psychology, Social Work, Health Administration, or a related health field, or equivalent work experience.
• Preferred: Licensed Practical Nurse (LPN), Licensed Master Social Work (LMSW), Certified Social Worker (C-SW), Licensed Social Worker (LSW), or Licensed Registered Nurse (RN).

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.