Patient Care Advocate

Centene Corporation

Patient Care Advocate closing HEDIS care gaps for Centene members near Little Rock. Coordinating provider education, outreach, appointments, transportation, and community resources.

Posted 9/9/2026full-timeLittle Rock • 🇺🇸 United StatesJuniorMid-Level💰 $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, ICD-10/CPT coding, and quality improvement interventions while effectively collaborating with providers and advocating for members. Proficient in conducting outreach, health coaching, and resolving compliance issues within healthcare settings.

Highest-signal resume keywords

HEDIS MeasuresICD-10/CPT CodingQuality ImprovementHealth CoachingDirect Patient Care

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Quality ImprovementHealth CoachingICD-10 CodingCPT CodingHEDIS MeasuresPatient AdvocacyCompliance ResolutionData AssessmentTelephonic OutreachDocumentation

Soft Skills

CollaborationCommunicationProblem-SolvingInterpersonal SkillsMember Engagement

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 CarePreventive ServicesCommunity-Based ResourcesNCQA RequirementsState and Federal Standards

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 providers on HEDIS measures and ICD-10/CPT coding in accordance with NCQA requirements
Support quality improvement interventions and audits related to plan providers
Resolve deficiencies affecting compliance with State and Federal HEDIS standards
Conduct telephonic outreach and health coaching to members identified as needing preventive services
Provide face-to-face education to members and families about care gaps and barriers to care
Schedule doctor appointments and follow-up appointments for members
Arrange transportation and connect members with community-based resources and affinity programs
Act as liaison and member advocate between members/families, physicians, facilities, and agencies
Serve as Centene/WellCare representative in the provider community
Assess provider performance data and identify opportunities for improvement
Collaborate with Provider Relations on Quality, Risk Adjustment, Operations, claims, and encounters
Document all member contacts and actions taken
Resolve member issues with other departments, including customer service
Refer members to case or disease management as appropriate
Complete special assignments and other duties as assigned
Maintain confidentiality of business and protected health information
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 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
Preferred certifications/licenses: 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
Competitive pay