Patient Experience Advocate & Care Navigator

CareMore Health Management Services, LLC; Downey (CA); On-site; USD 29,000 - 44,000; Full time

Job summary

CareMore Health Management Services, LLC is seeking a Patient Relations Representative in Downey, CA to advocate for patients, navigate insurance benefits, and coordinate care across clinical teams. You will address barriers to access, support onboarding, and educate on public programs.

The role emphasizes strong communication, problem-solving, and community engagement to enhance patient satisfaction and program participation.

Qualifications

• Strong communication, interpersonal, and problem-solving skills.
• Ability to manage multiple priorities in a fast-paced healthcare environment.
• Public speaking and presentation skills are a plus.

Responsibilities

• Serve as a primary point of contact for patients regarding insurance, benefits, and access-to-care questions.
• Assist patients in understanding Medicare, Medicaid, and health plan benefits, eligibility, and coverage options.
• Help resolve patient concerns related to appointments, referrals, billing, and care coordination.
• Advocate for patients by identifying and addressing barriers to healthcare access and treatment adherence.
• Educate patients on available public assistance and healthcare support programs.
• Assist patients with applications and documentation for eligible programs and services.
• Support patient onboarding and orientation to CareMore services and programs.
• Build strong relationships with patients and caregivers to foster trust and satisfaction.
• Promote preventative care and encourage participation in health management programs.
• Serve as a resource for insurance and benefit-related questions.
• Participate in team meetings, case reviews, and patient experience initiatives.
• Support organizational goals related to patient satisfaction, retention, and quality outcomes.
• Partner with clinic leadership and interdisciplinary teams to improve patient workflows and service delivery.
• Support scheduling coordination, documentation, reporting, and operational processes as needed.
• Maintain accurate patient records and ensure confidentiality in compliance with HIPAA standards.
• Participate in quality improvement initiatives focused on patient experience and operational excellence.
• Partner with SHIP/HICAP to educate SHIP on CareMore resources and understand available to our patients/Medicare beneficiaries.

Skills

Communication

Problem-solving

Multitasking

Public Speaking

Relationship Building

Education

High School Diploma or GED

Tools

Microsoft Office Suite

Job description

CareMore Health Management Services, LLC is seeking a Patient Relations Representative in Downey, CA to advocate for patients, navigate insurance benefits, and coordinate care across clinical teams. You will address barriers to access, support onboarding, and educate on public programs.

The role emphasizes strong communication, problem-solving, and community engagement to enhance patient satisfaction and program participation.