CNA - LTC

ARMS Staffing; Albuquerque (NM); Hybrid; USD 59,453,000 - 63,568,000; Full time

Benefits offered by this job

Comprehensive health coverage

401(k) Plan

Paid Time Off

Employee Assistance Program

Health Savings Account

Dependent Care FSA

Voluntary Disability Benefits

Basic Life and AD&D Insurance

Adoption Assistance Program

Training and Development

Job summary

Wider Circle seeks a Care Advocate to join a mission-driven team delivering integrated Case Management, Care Navigation, and Benefits Enrollment. You will work with clinicians and operations to support WiderCare+ and bridge clinical care with social needs, focusing on SDOH and program goals.

Ideal candidates bring CHW experience, strong communication, and the ability to work remotely with independent execution, while traveling to member homes in NM as needed.

Qualifications

• CHW training or equivalent experience preferred.
• Be willing to complete and maintain CMS training and state requirements.
• 3+ years in community outreach or healthcare.
• Strong computer skills navigating web/app systems.
• Excellent written and verbal communication.
• Valid driver's license and reliable transportation.
• Flexible schedule for occasional after-hours work.

Responsibilities

• Execute PIN and care plans within the CHI/PIN programs.
• Bridge clinical care and billing by coordinating with providers.
• Assess social determinants and develop action plans.
• Navigate the NJ healthcare landscape and assist self-advocacy.
• Coordinate CMS data updates and workflows with the team.
• Refer patients to community resources and build partnerships.
• Provide motivational interviewing and emotional support to families.
• Maintain logs and documentation per CMS requirements.

Skills

CHW training

3+ years experience

strong computer skills

excellent communication

driver's license

flexible schedule

Education

High school diploma/GED (college degree preferred)

Job description

What We Do (And Why It Matters)

We are a mission-driven team dedicated to stabilizing high-risk populations and ensuring that no one falls through the cracks of the healthcare system.

Our mission is to integrate Case Management, Care Navigation, and Benefits Enrollment into a single seamless layer of support with a focus on patients and their Social Determinants of Health (SDOH).

This work bridges the gap between clinical requirements and social stability, and this role is vital to achieving that balance.

Role Description

The Care Advocate is an integral part of the member’s care team and works closely with the clinicians and the clinical operations team. The Care Advocate will support our Care Delivery program (WiderCare+), using approved curriculum to build trust and promote health, while simultaneously driving the Community Health Integration (CHI) and Principal Illness Navigation (PIN) programs to bridge the gap between clinical care and social needs.

The Care Advocate's responsibilities include:

• Principal Illness Navigation (PIN): Execute person-centered care plans for patients with serious, high-risk illnesses. Assist in monitoring and revising disease-specific plans, especially when frequent adjustments in medication or treatment regimens are required.
• Clinical Care Bridge: Act as the link between the patient and the billing practitioner. Support care coordination by managing provider availability, rescheduling, and providing post-hospital discharge support.
• SDOH Assessment & Goal Setting: Conduct person-centered assessments to understand the patient’s social and cultural context. Identify unmet social needs—such as food insecurity or housing instability that impact the management of their serious condition and develop specific action plans to address them.
• System Navigation & Advocacy: Assist patients and caregivers in navigating the New Jersey healthcare landscape. Teach self-advocacy skills to help patients communicate effectively with specialists and coordinate transportation or access to telehealth.
• Technical & Workflow Support: Support patient communication templates and automation. Coordinate with the tech team to set up workflows, handle technical troubleshooting, and update patient charts in the Case Management System (CMS) with precision.
• Resource Coordination: Refer patients to supportive services and community-based resources. Establish and maintain partnerships with local New Jersey organizations to bring targeted resources (legal aid, food assistance, etc.) to our members’ attention.
• Behavioral & Social Support: Use motivational interviewing and capacity-building to help patients manage the stress of chronic illness. Provide tailored education to improve treatment adherence and offer emotional support to families and caregivers.
• CMS Compliance & Documentation: Maintain detailed logs of all interactions, including the amount of time spent and specific activities performed. Ensure all documentation meets the standards required for Medicare clinical and social integration services.

Essential Functions:

• New Mexico Locality: Safely and consistently drive to public places and member homes within a 50-mile radius in the listed locations.
• Remote Independence: Successfully work in a remote team environment with high independence and minimal oversight.
• Physical Presence: Frequently carry up to 30 pounds of supplies and stand/walk for the duration of home visits or member interactions.
• Digital Literacy: Ability to use a computer, tablet, and smartphone to update data in multiple secure systems with accuracy.

Requirements

The Successful Care Advocate will:

• Community Health Worker (CHW) training or certification preferred. Equivalent experience in community health, social services or a related field will be considered.
• Compliance: Be willing to complete and maintain all CMS-mandated training and state-applicable requirements, including competencies in interpersonal building, service coordination, and professional ethical conduct.
• Experience: Have 3+ years of relevant community outreach, facilitation, or healthcare experience. Experience navigating high-risk chronic conditions or complex care management is a major plus.
• Technical Savvy: Have strong computer skills and the ability to navigate web-based and app-based systems with ease.
• Cultural Competency: Possess a deep understanding of the socio-economic and public health challenges facing disenfranchised populations in New Jersey.
• Communication: Have excellent written and verbal communication skills, with an outgoing personality and the ability to motivate and influence different types of people.
• Logistics: Have a high school diploma/GED (college degree preferred). Must have a valid driver’s license, reliable transportation, and a flexible schedule for occasional work outside regular business hours.
• Commitment: Be committed to a drug-free workplace and ready for pre-employment substance abuse testing and background checks.

As a venture-backed company, Wider Circle offers competitive compensation, including:

• Comprehensive health coverage, including medical, dental, and vision
• 401(k) Plan
• Paid Time Off
• Employee Assistance Program
• Health Care FSA
• Dependent Care FSA
• Health Savings Account
• Voluntary Disability Benefits
• Basic Life and AD&D Insurance
• Adoption Assistance Program
• Training and Development
• Compensation: $20.76 - $22.18 per hour
  

And most importantly, an opportunity to make the world a better place!

Wider Circle is proud to be an equal-opportunity employer that does not tolerate discrimination or harassment, of any kind. Our commitment to Diversity & Inclusion supports our ability to build diverse teams and develop inclusive work environments. We believe in empowering people and valuing their differences. We are committed to equal employment opportunity without consideration of race, color, religion, ethnicity, citizenship, political activity or affiliation, marital status, age, national origin, ancestry, disability, veteran status, sexual orientation, gender identity, gender expression, sex or gender, or any other basis protected by law.