Job Details

A company is looking for a Quality Care Member Advocate to serve as a vital link between members and the healthcare system.Key ResponsibilitiesConduct outreach to identify care gaps and connect members with appropriate healthcare servicesPerform community-based assessments to evaluate member needs and facilitate care coordinationEducate members on preventive care, chronic condition management, and available community resourcesRequired QualificationsBachelor's Degree in Social Work, Public Health, Nursing, or a related field; or equivalent experience2+ years in community health or healthcare qualityExperience working with health plan members and navigating community resourcesFamiliarity with Medicaid/Medicare programs and quality measures (e.g., HEDIS)LCSW or RN licensure preferred