Care Advocate

• Serve as a vital link between members and the healthcare system, focusing on improving health outcomes by identifying and closing care gaps
• 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
• Help members navigate complex 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, including HEDIS and CAHPS, and support improvement initiatives
• Educate members on preventive care, chronic condition management, and available 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
• Comply with all policies and standards

Explore Quality Care Advocate at Centene Corporation. Review requirements and application details.