About this role
JOB SUMMARY:
The Member Advocate is a customer-service focused position that will support local service areas. The position is considered a work-from-home position as no formal office space/work location is provided; however, the Member Advocate will conduct a large portion of work at partner nursing homes within a specific work region.
ESSENTIAL JOB DUTIES:
To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation.
Welcome all new members in accordance with established Plan processes
Visit or contact assigned members at least monthly
Develop and maintain relationships with key network providers, nursing home staff, and facilities within assigned region
Annually sponsor or assist a minimum of one group activity at each regional nursing facilities
Contact TruHealth staff or appointees at least monthly, but more often as appropriate, to discuss and ensure the needs of the Member and Plan are met
Document all activities as required
Follow up on any item(s) members are dissatisfied with and report to Plan accordingly
Ensure all interactions with the members are compliant with CMS regulations
Attend meetings as necessary
Other responsibilities as assigned
JOB REQUIREMENTS:
Exceptional interpersonal skills with demonstrated ability to work independently as well as with a team; must be a good listener to understand feedback from the family
Ability to work well with staff at each of the nursing homes in the assigned region to include nursing staff, doctors, and administration staff
Ability to deliver outstanding customer service with a proven track record
Exceptional organizational skills
Willingness and ability to travel to facilities within assigned region
Have suitable home workspace allowing for productive office environment
Compliant with CMS regulations regarding Medicare Advantage Plans
Successfully complete required training
Handle multiple priorities effectively
Independent discretion
Reliable transportation
Possess clean driving record and current automobile insurance according to company policy
Maintain regular and reliable attendance
Successfully complete required training
Handle multiple priorities effectively
Required Computer Software/Equipment Used:
Various operating systems
Standard office equipment
Microsoft Suite applications
QUALIFICATIONS:
Education:
o Associates degree preferred
Experience:
o Experience in a long-term care setting with elderly patients as either a CNA, Activities Therapist, or social worker preferred
License /Education:
o Associates degree preferred
o State drivers license
EQUAL OPPORTUNITY EMPLOYER
This Organization is an equal opportunity employer. We do not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. This Organization will make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made. A key part of this policy is to provide equal employment opportunity regarding all terms and conditions of employment and in all aspects of a person's relationship with the Organization including recruitment, hiring, promotions, upgrading positions, conditions of employment, compensation, training, benefits, transfers, discipline, and termination of employment.