California Licensed Member Advocate

Job Summary

A company is looking for a Quality Care Member Advocate to improve health outcomes for its members.

Key Responsibilities

• Conduct outreach to identify care gaps and connect members with healthcare services
• Perform assessments to evaluate member needs and facilitate care coordination
• Assist members in navigating healthcare and social service systems to ensure support and continuity of care

Required Qualifications, Training, and Education

• Bachelor's Degree in Social Work, Public Health, Nursing, or related field, or equivalent experience
• 2+ years of experience in community health or healthcare quality
• Experience working with health plan members and community resources
• Familiarity with Medicaid/Medicare programs and quality measures (e.g., HEDIS)
• LCSW or RN licensure preferred