Patient Care Advocate

Centene Corporation

Patient Care Advocate improving HEDIS care quality for Centene members and providers near Little Rock. Conducting outreach, education, appointment coordination, and health coaching.

Posted 9/9/2026full-timeLittle Rock • 🇺🇸 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 collaborating with healthcare providers and advocating for member needs. Possesses strong communication skills for outreach and education, ensuring compliance with state and federal standards.

Highest-signal resume keywords

HEDIS MeasuresICD-10/CPT CodingQuality ImprovementDirect Patient CareHealth Coaching

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

HEDIS MeasuresICD-10 CodingCPT CodingQuality ImprovementHealth CoachingPatient CareData AssessmentCompliance StandardsDocumentationOutreach

Soft Skills

CollaborationAdvocacyCommunicationEducationProblem-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 CarePatient AdvocacyHealthcarePublic HealthSocial WorkHealth AdministrationConfidentialityTelephonic OutreachCommunity ResourcesCare Gaps

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 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 member and family education about care gaps and barriers to care
Schedule doctor appointments for members and assist with preventive care access
Arrange transportation, follow-up appointments, and connections to community-based resources and affinity programs
Document all actions taken regarding member contact
Serve as liaison and member advocate between members/families, physicians, facilities, and agencies
Act as Centene/WellCare representative in the provider community
Collaborate with Provider Relations and other departments, including customer service, to resolve issues and improve performance
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 authorized to work in the U.S. without employment-based visa sponsorship now or in the future
Must be located near Little Rock, Arkansas
Driver's license required
Position may require travel
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
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)
Ability to advise and educate provider practices on HEDIS measures and HEDIS ICD-10/CPT coding in accordance with NCQA requirements
Ability to assess provider performance data and identify improvement opportunities
Ability to maintain confidentiality of business and protected health information

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
Equal opportunity employer committed to diversity