California Licensed Member Advocate

Job Summary

Serving as a vital link between members and the healthcare system, the full-time California Licensed Member Advocate will conduct outreach, perform community assessments, and assist members in navigating healthcare services to improve health outcomes while working remotely.

Key responsibilities

• Conduct outreach to identify care gaps and connect members with appropriate healthcare services
• Perform home visits and community assessments to evaluate member needs and facilitate care coordination
• Educate members on preventive care and assist with navigating complex healthcare and social service systems

Required qualifications

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