Patient Care Advocate

Centene Corporation

. Work with members and providers to close care gaps and remove barriers to care .

Posted 10/13/2026full-timeLittle Rock • United StatesJuniorMid-Level💰 $27 - $49 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in member advocacy, care gap closure, and quality improvement initiatives within healthcare settings. Proficient in HEDIS measures, ICD-10/CPT coding, and effective communication with providers and members.

Highest-signal resume keywords

HEDIS Measures ImprovementICD-10/CPT Coding EducationDirect Patient Care ExperienceQuality Improvement InterventionsHealth Coaching

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care Gap ClosureQuality ImprovementHealth CoachingPatient EducationData Documentation

Soft Skills

CollaborationCommunicationAdvocacyProblem-Solving

Tools & Technologies

Telephonic OutreachCommunity-Based Resources

Certifications & Qualifications

Licensed Practical Nurse (LPN)Licensed Master Social Work (LMSW)Certified Social Worker (C-SW)Licensed Social Worker (LSW)Licensed Registered Nurse (RN)

Industry Keywords

Managed CareNCQA RequirementsPatient CareHealth AdministrationPublic Health

About the role

Key responsibilities & impact

Work with members and providers to close care gaps and remove barriers to care
Improve member and provider experience through outreach and face-to-face interaction
Collaborate with providers in the field to improve HEDIS measures
Educate providers on HEDIS measures and ICD-10/CPT coding in accordance with NCQA requirements
Support quality improvement interventions and audits related to plan providers
Conduct telephonic outreach and health coaching to members
Conduct face-to-face member and family education in provider offices
Schedule doctor appointments and preventive care services for members
Arrange transportation and follow-up appointments
Connect members with community-based resources and affinity programs
Document all member contacts and actions taken
Act as liaison and member advocate between members/families, physicians, facilities, and agencies
Serve as WellCare's representative in the provider community
Assess provider performance data and identify improvement opportunities
Collaborate with Provider Relations and other departments to improve quality, risk adjustment, operations, claims, and encounters
Refer members to case or disease management as appropriate
Complete special assignments and other duties as assigned
Maintain confidentiality of business and protected health information
Comply with all policies and standards

Requirements

What you’ll need

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
Candidates must be located near Little Rock, Arkansas
Driver's license required
Position may require travel
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 when using equivalent work experience
2+ years of work experience in direct patient care, social work, quality improvement, or health coaching, preferably in a managed care environment
Preferred certification/licensure: Licensed Practical Nurse (LPN), Licensed Master Social Work (LMSW), Certified Social Worker (C-SW), Licensed Social Worker (LSW), or Licensed Registered Nurse (RN)

Benefits

Comp & perks

Competitive pay
Health insurance
401K plan
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Additional forms of incentives may be included in total compensation
Equal opportunity and diversity-focused workplace