Patient Care Advocate

Centene Corporation

Patient Care Advocate helping Arizona members close preventive-care gaps for Centene’s managed-care programs. Coordinating provider education, outreach, appointments, transportation, and quality improvement.

Posted 9/9/2026full-timeRemote • Arizona • 🇺🇸 United StatesJuniorMid-Level💰 $27 - $49 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in HEDIS measures, ICD-10/CPT coding, and quality improvement interventions while effectively engaging with members and providers to enhance care experiences. Proficient in health coaching and navigating community resources to support patient needs.

Highest-signal resume keywords

HEDIS MeasuresICD-10/CPT CodingHealth CoachingQuality ImprovementBilingual in Spanish

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Patient CareSocial WorkQuality ImprovementHealth EducationData Assessment

Soft Skills

CommunicationCollaborationAdvocacyProblem-Solving

Certifications & Qualifications

Licensed Practical Nurse (LPN)Licensed Master Social Work (LMSW)Certified Social Worker (C-SW)Licensed Social Worker (LSW)Licensed Registered Nurse (RN)

Industry Keywords

Managed CareComplianceTelephonic OutreachCommunity ResourcesHealth Administration

About the role

Key responsibilities & impact

Work with members and providers to close care gaps and remove barriers to care
Improve member and provider experience through outreach and face-to-face interaction
Collaborate with providers in the field to improve HEDIS measures
Educate provider practices on HEDIS measures and HEDIS ICD-10/CPT coding
Support quality improvement interventions and audits related to plan providers
Assist in resolving deficiencies affecting compliance with State and Federal HEDIS standards
Conduct telephonic outreach and health coaching to members
Conduct face-to-face education with members and families in provider offices
Schedule doctor appointments and arrange transportation and follow-up appointments
Connect members with community-based resources and affinity programs
Act as liaison and member advocate between members/families, physicians, and facilities/agencies
Serve as WellCare representative in embedded provider offices
Assess provider performance data and identify opportunities for improvement
Collaborate with Provider Relations on Quality, Risk Adjustment, Operations, claims, and encounters
Document all member-related contact actions
Interact with customer service and other departments to resolve member issues
Refer members to case or disease management as appropriate
Complete special assignments and other duties as assigned
Comply with all policies and standards

Requirements

What you’ll need

Must be located in Arizona, Maricopa County
Must be authorized to work in the U.S. without employment-based visa sponsorship now or in the future
Bachelor's Degree in Healthcare, Public Health, Nursing, Psychology, Social Work, Health Administration, or related health field, or equivalent work experience
A total of 4 years of experience required for the position when using equivalent work experience
2+ years of work experience in direct patient care, social work, quality improvement, or health coaching, preferably in a managed care environment
Bilingual in Spanish highly preferred
One of the following preferred: Licensed Practical Nurse (LPN), Licensed Master Social Work (LMSW), Certified Social Worker (C-SW), Licensed Social Worker (LSW), or Licensed Registered Nurse (RN)
Ability to maintain confidentiality of business and protected health information
Knowledge of HEDIS measures and ICD-10/CPT coding in accordance with NCQA requirements

Benefits

Comp & perks

Health insurance
401K plan
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Additional forms of incentives may be included in total compensation
Equal opportunity employer committed to diversity