Quality Care Advocate

Centene Corporation

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

Posted 10/8/2026full-timePhiladelphia • Pennsylvania • United StatesJuniorMid-Level💰 $27 - $49 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in community health outreach, care coordination, and navigating healthcare systems, with a strong focus on member engagement and compliance with regulations. Proficient in assessing social determinants of health and collaborating with various stakeholders to improve healthcare access and quality.

Highest-signal resume keywords

Community Health OutreachCare CoordinationMedicaid / Medicare FamiliarityQuality Improvement InitiativesLicensed Clinical Social Worker (LCSW)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Community-Based AssessmentsCare Gap IdentificationAppointment SchedulingPreventive Care EducationChronic Condition ManagementDocumentation of Member InteractionsData Monitoring and ReportingRegulatory Compliance

Soft Skills

Strong Communication SkillsInterpersonal SkillsRelationship BuildingFlexibility

Certifications & Qualifications

Bachelor's Degree in Social WorkBachelor's Degree in Public HealthBachelor's Degree in NursingRegistered Nurse (RN) State Licensure

Industry Keywords

Healthcare ServicesSocial Determinants of HealthQuality MeasuresHEDISCommunity Resources

About the role

Key responsibilities & impact

Conduct outreach to members in the community to identify care gaps and connect them with 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 navigate healthcare and social service systems
Assist with scheduling appointments, understanding care plans, and accessing benefits or entitlements
Collaborate with providers to share quality performance data and support improvement initiatives
Educate members on preventive care, chronic condition management, and community resources
Document member interactions, care gap closures, and referrals in appropriate systems
Partner with Quality, Care Management, Provider Relations, and other internal departments
Monitor and report on 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 Philadelphia County
Flexibility to accommodate visit schedules and members’ needs
LCSW — Licensed Clinical Social Worker preferred
RN — Registered Nurse — 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
Mileage reimbursement for travel in the community for member visits