Patient Care Advocate Job Description

Patient Care Advocate Job Description

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Patient care advocate provides feedback to appropriate stakeholders on ways to improve learning outcomes, based on established metrics and experience with learners.

Patient Care Advocate Duties & Responsibilities

To write an effective patient care advocate job description, begin by listing detailed duties, responsibilities and expectations. We have included patient care advocate job description templates that you can modify and use.

Sample responsibilities for this position include:

Acting as the face of the company in the provider community with the providers' and offices staff where their services are embedded
Act as the face of the companyin the provider community with the providers' and offices staff where their services are embedded Advises and educate Provider practices in appropriate HEDIS measures, and HEDIS ICD-10 /CPT coding in accordance with NCQA requirements
Act as the face of the company in the provider community with the providers' and offices staff where their services are embedded
Knowledgeable of all appropriate service and business metrics and assist organization on action plans to improve outcomes
Assessing provider performance data to identify and strategize opportunities for provider improvement
Collaborating with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment, Operations (claims and encounters)
Scheduling doctor appointments for members with care gaps to access needed preventive care services and close gaps in care in the provider's office
Conducting face-to-face education with the member and their family, in the provider's office, about care gaps identified, and barriers to care
Conducting telephonic outreach and health coaching to members to support quality improvement, regulatory and contractual requirements
Documenting all actions taken regarding contact related to member

Patient Care Advocate Qualifications

Qualifications for a job description may include education, certification, and experience.

Licensing or Certifications for Patient Care Advocate

List any licenses or certifications required by the position: MA, CPR

Education for Patient Care Advocate

Typically a job would require a certain level of education.

Employers hiring for the patient care advocate job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Collage Degree in Psychology, Nursing, Public Health, Healthcare, Health, Health Administration, Social Work, Coaching, Patient Care, Education

Skills for Patient Care Advocate

Desired skills for patient care advocate include:

Healthcare delivery
Appropriate service and business metrics and assist team on action plans to improve outcomes
Product/procedures
Medical terminology
Computer systems and applications
Drugs
Medical nomenclature
Metric system as necessary to ensure accurate prescription fulfillment
Community
Appropriate service and business metrics

Desired experience for patient care advocate includes:

Interacting with other departments, including customer service to resolve member issues
Assess provider performance data to identify and strategize opportunities for provider improvement
Collaborate with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment, Operations (claims and encounters)
Schedule doctor appointments for members with care gaps to access needed preventive care services and close gaps in care in the provider's office
Conduct face-to-face education with the member and their family, in the provider's office, about care gaps identified, and barriers to care
Conduct telephonic outreach and health coaching to members to support quality improvement, regulatory and contractual requirements

Patient Care Advocate Examples

1

Patient Care Advocate Job Description

Job Description Example
Our growing company is hiring for a patient care advocate. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for patient care advocate
  • Interact with other departments including customer service to resolve member issues
  • Refer to case or disease management as appropriate
  • Complete special assignments and projects instrumental to the function of the department
  • Execute Medication Therapy Management for the company through competency in MTM platforms
  • Use the pharmacy computer to complete all actions necessary to provide optimal patient care
  • Working as part of a team to plan the best care for patients
  • Answering questions and addressing the patients' concerns, both telephonically and in person
  • Walking patients through VF, IUI, and other infertility options
  • Prepare orders for packing and shipping
  • Reconcile daily merchandise orders
Qualifications for patient care advocate
  • Other (Application Form 10-2850c)
  • High school diploma or GED up to 1 year of relevant working experience
  • High school diploma or GED and up to 1 year of relevant working experience
  • A Bachelor's Degree in Healthcare, Public Health, Nursing, psychology, Social Work, Health Administration, or related health field or equivalent work experience (a total of 4 years of experience required for the position)
  • High School diploma, GED or three to five years relevant business experience
  • Prefer senior intervention technician
2

Patient Care Advocate Job Description

Job Description Example
Our company is looking for a patient care advocate. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for patient care advocate
  • Two or more years of clinical experience required
  • Two or more years of EMR experience required
  • Two or more years of clinical experience preferred
  • Two or more years of EMR experience preferred
  • Accurate data entry of patient demographics, prescription information, and insurance data for order processing
  • Verification of patient¿s insurance information and assistance with prior authorizations
  • Communication via fax or phone with doctor's offices regarding status of patient orders
  • Provide assistance to patient with enrollment into copay assistance programs
  • Contact insurance carriers on the patient's behalf to determine status of medication payment approvals
  • Assist others if their work is caught up
Qualifications for patient care advocate
  • Medicare experience preferred but not required
  • We will accept work at home associates (continue to work at home)
  • Other related medical or science degree/certification
  • Model excellent patient care by respecting, engaging and enthusiastically meeting or exceeding all patient needs providing ample time for any questions the patient may have
  • Maintain a neat and clean work environment
  • Answer telephone in a polite and timely manner and ensure accurate information is exchanged and the customer is satisfied
3

Patient Care Advocate Job Description

Job Description Example
Our growing company is looking for a patient care advocate. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for patient care advocate
  • Develops and implements training plans to educate end users for assigned projects
  • Facilitates end-user training programs and ensures proper training material is available and provided prior to and during training
  • Provides medical literature research service to the patient, family or health care provider
  • Engage with the employer to negotiate a mutual beneficial solution for the employer and the patient
  • Communicates effectively and courteously on the telephone and in person with patients and colleagues
  • Possess a strong attention to detail, a personal commitment to accuracy and excellence, excellent communication and interpersonal skills and demonstrated organizational skills
  • Designs/implements GPG specialty-specific optimization program
  • Flexibility depending upon department and/or physician schedule needs
  • Understands EHR systems
  • Interacts in an effective manner with practitioners and their staff
Qualifications for patient care advocate
  • Required 2+ years of work experience should be in direct patient care, social work, quality improvement or health coaching preferably in a managed care environment
  • Required intermediate Microsoft Word, Excel and Outlook
  • Computer knowledge and office skills
  • Strong knowledge base relative to surgery processes, flow of the surgical patient
  • Ability to meet physical demands such as walking, standing, maneuvering a wheelchair
  • Positive, friendly, and welcoming demeanor with a focus on patient satisfaction
4

Patient Care Advocate Job Description

Job Description Example
Our company is looking for a patient care advocate. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for patient care advocate
  • CMA or LPN
  • LPN – Must have an active LPN in the state of North Carolina
  • Advise and educate Provider practices in appropriate HEDIS measures, and HEDIS ICD-10 /CPT coding in accordance with NCQA requirements
  • Surveys patients while in the hospital and helps proactively meet the patients’ needs
  • Assists departments in developing discharge packets for patients
  • Demonstrates concern and consideration for the patient’s post discharge wellbeing
  • Anticipates and provides solutions to customer needs
  • Makes and answer calls in a professional manner with kindness and empathy
  • Follows scripted questions provided
  • Contributes to survey response rate by informing and educating patients in regards to the HCHAPS survey
Qualifications for patient care advocate
  • Two or more years of EMR experience
  • Annual performance rating of Stretch preferred
  • Must not have received a Written or Final level of discipline in the past 6 months
  • Must be able to sit onsite in Warrendale
  • Responds to customer inquiries and notifies appropriate departments to resolve customer complaints
  • Facilitates resolution of issues in a timely manner
5

Patient Care Advocate Job Description

Job Description Example
Our growing company is hiring for a patient care advocate. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for patient care advocate
  • Ensures complete and accurate documentation is recorded in the computerized database for each call
  • Demonstrates clear, concise communication about patient to other members of the healthcare team as necessary
  • Works collaboratively with department managers or designated hospital staff
  • Demonstrates practices to keep all medical record information protected and confidential
  • Prepares and distributes a daily written record by unit of the responses and comments given during the post-discharge phone call
  • Reports “wins” and other information gathered during post-discharge phones to management in an effort to improve processes
  • Attempts to contact patients discharged (3 attempts)
  • Serves as resource for new personnel and staff
  • Demonstrates recognition of emergency codes and consistently implements appropriate emergency procedures, as necessary
  • Assists with administrative duties of printing reports and packets and ordering of supplies
Qualifications for patient care advocate
  • Flexibility to accommodate a 40 hour work shift during the hours of operation of Sunday-Saturday
  • Ability to handle customer inquiries
  • Makes and receives inbound/outbound phone calls to initiate arrangements for patients to pay their portion of the account
  • Respond to patient billing inquiries
  • Negotiate payments and payment plans with patients
  • Submit credit card payments

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