Member Advocate, Medicare Advantage at CommuniCare Health Services

Selkirk, Scotland, United States -

Full Time

Start Date

Immediate

Expiry Date

21 Feb, 26

Salary

65000.0

Posted On

24 Nov, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Nursing Home, Long-Term Care, Geriatrics, Special Needs, Social Services, Medicare, Medicaid, Insurance, Advocacy, Customer Service, Communication Skills, Organizational Skills, Relationship Management, Compassionate Demeanor, Computer Skills, Independent Functioning

Industry

Hospitals and Health Care

Description

Job Address: 10123 Alliance Road, Suite 320 Blue Ash, OH 45242 Member Advocate, Medicare Advantage CommuniCare Corporate CommuniCare Advantage, an Institutional Special Needs Medicare Advantage Plan (ISNP), is currently seeking a Member Advocate to establish an enthusiastic customer-oriented presence throughout a designated territory. In this exciting role, the ISNP Member Advocate will be engaged directly with our health plan members, their families and individualized care teams in an effort to promote and support proactive, appropriate care. Estimated Pay: $65k/annually This is a remote position involving weekday travel during business hours, Monday-Friday, to your assigned local long-term care facilities region. PURPOSE / BELIEF STATEMENT Member Advocates are dedicated to assisting our members with health plan benefit navigation as well as facility enrichment to maximize the healthcare experience. Member Advocates will personalize their approach to each member by coordinating their services and support to get them to the right services, in the right place, at the right time. Member Advocates empower members and families in maximizing their ISNP benefits. Our ISNP advocacy platform is about helping people find their voice—our members, our peers, our facilities, our providers, our company. Beyond the robust ISNP clinical model of care, Member Advocacy makes us unique to the frail and vulnerable population that we serve. WHAT WE OFFER Beyond our competitive wages and Paid Time Off, we offer all full-time employees a variety of benefit options including: Life Insurance LTD/STD Medical, Dental, and Vision with Flexible Spending Accounts 401(k) Employer Match QUALIFICATIONS / EDUCATION REQUIREMENTS Required: 3+ years’ experience in nursing home, long-term care, geriatrics, special needs, social services, Medicare, Medicaid, insurance, advocacy, or customer service Strong comprehension of CMS regulated healthcare entities and insurances Dynamic, compassionate, approachable demeanor Zeal for connecting with people and building trustworthy relationships Proficient computer skills with Windows-based and Microsoft applications Ability to demonstrate advanced organizational and communication skills Ability to function independently and responsibly with minimal need for supervision Ability to develop and manage relationships, as well as multiple priorities Ability to travel throughout the designated local territory Monday-Friday during business hours Preferred: Four-year degree or higher, and/or 5+years equivalent work experience in healthcare, nursing home/long-term care social services or recreation/activities, advocacy, healthcare customer service, or other closely related special needs industry Since 1984, CommuniCare Family of Companies has been committed to delivering exceptional person-centered care as a national leader in post-acute care for those that are chronically ill or have complex conditions. Our more than 150 skilled nursing, assisted living, and long-term care facilities deliver sophisticated and transformative care to nearly 16,000 residents and patients at any given time. CommuniCare employs more than 19,000 employees across six states (Ohio, Indiana, Maryland, Virginia, West Virginia and Pennsylvania). As a family owned and operated company, family and heart are woven into every aspect of our continuum of care. Our mission, to serve with pride, is evident and a quality residents, families and community partners have come to expect and trust. Dedicated to improving the lives of seniors, we put extraordinary service above all else. We continue to raise the bar and innovate wherever possible to deliver a higher quality of life for those far beyond our facilities. Because of this, our facilities are a better place for residents to live, patients to stay, employees to work and families to heal.

Responsibilities

The Member Advocate will engage directly with health plan members, their families, and care teams to promote and support proactive care. They will personalize their approach to coordinate services and empower members to maximize their ISNP benefits.