Care Advocate, Bilingual Preferred

This is a fully remote position, open to applicants in Washington.

📋 Description

• Assist CHPW’s Medicaid, Cascade Select, and Dual Special Needs Plan members in navigating healthcare systems and benefits.

• Perform welcome calls for new members and conduct Health Risk Assessments.

• Engage in routine outreach for annual Health Risk Assessments, health screenings, and participation in Care Management programs.

• Act as the main contact for the Care Team and manage incoming member calls.

• Execute telephonic outreach for welcome calls, satisfaction surveys, and Health Risk Assessments.

• Inform members about benefits, screenings, program requirements, and how to engage with the Care Team.

• Organize and arrange in-home assessments as well as telehealth or in-person provider visits.

• Reach out quarterly to members who were previously unreachable.

• Assist members in closing care gaps and scheduling necessary appointments.

• Triage and resolve inquiries from members, families, and caregivers, or refer them to the appropriate personnel.

• Receive warm handoffs from other internal teams for HRA or Care Team support.

• Distribute educational materials via phone, mail, or text.

• Participate in Care Team meetings and interdisciplinary team conferences.

• Connect members with relevant internal programs and CHPW teams.

• Access and manage medical records, upload necessary documents, and maintain EHR episodes.

• Close EHR cases for members who are no longer enrolled and inform the assigned case managers.

• Activate the Crisis Caller in Distress protocol.

• Prioritize and accomplish daily tasks both independently and collaboratively.

• Carry out additional duties as assigned.

⛳️ Requirements

• A minimum of three (3) years of experience in administrative, customer service, and/or patient services coordination within a healthcare environment is required.

• At least one (1) year of experience as a Medical Assistant or in a related field is preferred.

• Certification through an accredited medical assistant program, Allied Health education program, or other relevant certification is preferred.

• Familiarity with medical terminology, electronic medical records, and healthcare processes is preferred.

• Proficiency in Spanish is preferred.

• Capability to meet deadlines, manage time efficiently, and organize and prioritize tasks.

• Strong verbal and written communication skills.

• Competence in using Microsoft Office applications such as Outlook, Word, and Excel.

• Must successfully pass a criminal background check.

• Must not be sanctioned or excluded from participating in federal or state healthcare programs.

• Must comply with vaccination requirements, subject to medical or religious exemptions.

• Ability to perform essential functions with reasonable accommodations as needed.

🏝️ Benefits

• 5% annual incentive target based on company, department, and individual performance objectives.

• Eligibility for overtime pay.

• Comprehensive medical, prescription, dental, and vision coverage.

• Access to a telehealth application.

• Flexible Spending Accounts available.

• Health Savings Accounts offered.

• Basic Life and Accidental Death & Dismemberment insurance.

• Short- and Long-Term Disability coverage.

• Options for Voluntary Life, Critical Care, and Long-Term Care Insurance.

• 401(k) retirement plan with a generous employer match.

• Employee Assistance Program and a Mental Fitness app.

• Financial coaching services provided.

• Identity theft protection included.

• PTO accrual starting at 17 days per year.

• 40 hours allocated for community service volunteer time.

• 10 standard holidays observed.

• 2 floating holidays available.

• Compassionate leave offered.

• Jury duty leave provided.

• Process for medical or religious vaccination exemptions.