Quality Care Advocate

Centene Corporation

. Conduct outreach to members in the community to identify care gaps and connect them with appropriate healthcare services and resources .

Posted 10/30/2026full-timePortland • Maine • United StatesJuniorMid-Level💰 $27 - $49 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in community health outreach, care coordination, and navigating healthcare systems, with a strong focus on preventive care and chronic condition management. Proficient in documenting member interactions and maintaining compliance with healthcare regulations.

Highest-signal resume keywords

Community Health OutreachCare CoordinationHEDIS FamiliaritySocial Determinants Of HealthInterpersonal Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Community-Based AssessmentsPreventive Care EducationCare Gap Closure DocumentationAppointment SchedulingQuality Performance Data Sharing

Soft Skills

Strong Communication SkillsInterpersonal SkillsRelationship Building

Certifications & Qualifications

LCSW LicenseRN State LicensureCompact State Licensure

Industry Keywords

Medicaid ProgramsMedicare ProgramsHealthcare QualityCare ManagementQuality Initiatives

About the role

Key responsibilities & impact

Conduct outreach to members in the community to identify care gaps and connect them with appropriate healthcare services and resources
Perform home visits or community-based assessments to evaluate member needs and identify social determinants of health
Facilitate care coordination and help members access preventive or follow-up care
Help individuals navigate healthcare and social service systems
Assist with scheduling appointments, understanding care plans, and accessing benefits or entitlements
Collaborate with providers by sharing quality performance data such as HEDIS and CAHPS
Educate members on preventive care, chronic condition management, and community resources
Document member interactions, care gap closures, and referrals
Partner with Quality, Care Management, Provider Relations, and other internal departments
Monitor and report outreach effectiveness and care gap closure metrics
Maintain compliance with state and federal regulations and organizational policies
Participate in seasonal campaigns and quality initiatives
Build relationships with local organizations and stakeholders as a community ambassador
Perform other duties as assigned

Requirements

What you’ll need

Bachelor's Degree in Social Work, Public Health, Nursing, or related field; or equivalent experience required
2+ years in community health or healthcare quality required
Experience working with health plan members and navigating community resources required
Familiarity with Medicaid / Medicare programs and quality measures (e.g., HEDIS) required
Strong communication and interpersonal skills
Candidates must be based in or near Androscoggin County
Flexibility to accommodate member visit schedules
LCSW license preferred
RN state licensure and/or compact state licensure preferred

Benefits

Comp & perks

Health insurance
401K plan
Stock purchase plans
Tuition reimbursement
Paid time off
Holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Additional forms of incentives may be included in total compensation
Mileage reimbursement for travel in the community for member visits