Care Guide Advocate

About The Role:

• The Care Guide Advocate is an integral hybrid role supporting RN Care Coordinators and Utilization Management RNs.
• This member will fulfill key patient experience responsibilities by assisting with navigation for members, providers, and digital vendors.
• They will effectively leverage a myriad of skill sets to provide a seamless experience by blending administrative, educational and customer service functions.

Roles & Responsibilities:

• Provide a high degree of customer service and professionalism when interacting with patients of providers via phone or email; ability to empathize and diffuse difficult situations.
• Assist members with detailed provider searches utilizing network look-up tools.
• Protect/observe patient privacy and confidentiality, per external regulatory requirements (HIPAA) and internal policy and procedures.

Minimum Qualifications:

• High school diploma.
• 2-3 years in customer service.
• Strong computer skills and experience with electronic medical records.