Texas Licensed Quality Care Advocate

Job Summary

A company is looking for a Quality Care Member Advocate to serve as a vital link between members and the healthcare system.

Key Responsibilities

• Conduct outreach to identify care gaps and connect members with appropriate healthcare services
• Perform community-based assessments to evaluate member needs and facilitate care coordination
• Educate members on preventive care, chronic condition management, and available community resources

Required Qualifications

• Bachelor's Degree in Social Work, Public Health, Nursing, or a related field; or equivalent experience
• 2+ years 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