Patient Care Advocate

Centene Corporation

Patient Care Advocate helping Centene members close preventive-care gaps through provider outreach, education, and health coaching. Coordinating appointments, transportation, and community resources.

Posted 9/9/2026full-timeRemote • Kentucky, Mississippi, Tennessee, Texas • 🇺🇸 United StatesMid-LevelSenior💰 $27 - $49 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in HEDIS measures, coding, and quality improvement interventions while effectively collaborating with providers and advocating for members. Proficient in conducting outreach, education, and support to enhance member and provider experiences in a managed care environment.

Highest-signal resume keywords

HEDIS MeasuresQuality ImprovementDirect Patient CareHealth CoachingLicensed Practical Nurse (LPN)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

HEDIS CodingPatient EducationCare Gap IdentificationData AssessmentTelephonic Outreach

Soft Skills

CollaborationAdvocacyCommunicationProblem-SolvingInterpersonal Skills

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 CareNCQA RequirementsState and Federal StandardsCommunity-Based ResourcesHealth Administration

About the role

Key responsibilities & impact

Work with members and providers to close care gaps, remove barriers to care, and improve member and provider experience
Conduct outreach and face-to-face interaction with members and providers at large IPA and/or group practices
Collaborate with providers in the field to improve HEDIS measures
Provide education on HEDIS measures and coding
Support quality improvement interventions and audits related to plan providers
Assist in resolving deficiencies affecting plan compliance with State and Federal HEDIS standards
Conduct telephonic outreach while embedded in provider offices
Educate members about identified care gaps during medical appointments
Schedule doctor appointments on behalf of practitioners and members
Arrange transportation and connect members with community-based resources and affinity programs
Maintain confidentiality of business and protected health information
Act as liaison and member advocate between members/families, physicians, and facilities/agencies
Represent WellCare in the provider community
Advise and educate provider practices on HEDIS measures and HEDIS ICD-10/CPT coding in accordance with NCQA requirements
Assess provider performance data and identify opportunities for improvement
Collaborate with Provider Relations on Quality, Risk Adjustment, Operations, claims, and encounters
Conduct face-to-face member and family education regarding care gaps and barriers to care
Conduct telephonic outreach and health coaching
Arrange transportation and follow-up appointments
Document all member contact actions
Interact with departments including customer service to resolve member issues
Refer members to case or disease management as appropriate
Complete special assignments and projects
Perform other duties as assigned
Comply with all policies and standards

Requirements

What you’ll need

Must be authorized to work in the U.S. without the need for 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
2+ years of work experience in direct patient care, social work, quality improvement or health coaching, preferably in a managed care environment
Experience should be in direct patient care, social work, quality improvement or health coaching
Preferred license/certification: Licensed Practical Nurse (LPN), Licensed Master Social Work (LMSW), Certified Social Worker (C-SW), Licensed Social Worker (LSW), or Licensed Registered Nurse (RN)

Benefits

Comp & perks

health insurance
401K
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