Quality Care Advocate – Clinical

Centene Corporation

Quality care advocate helping Centene members close care gaps through outreach, home visits, education, and care coordination. Supporting healthier communities through improved access to preventive and chronic-care services.

Posted 8/17/2026full-timeDallas • Texas • 🇺🇸 United StatesMid-LevelSenior💰 $27 - $49 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care coordination, community health education, and navigating healthcare systems, with a strong focus on preventive care and chronic disease management. Proficient in utilizing quality performance data and maintaining compliance with healthcare regulations.

Highest-signal resume keywords

Care CoordinationHEDIS Quality MeasuresCommunity Health EducationClinical DocumentationBilingual English/Spanish

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care ManagementHealth Screening AssessmentsPreventive Care OutreachChronic Disease ManagementSocial Determinants of HealthQuality Performance DataAppointment SchedulingMember NavigationData DocumentationCompliance with Regulations

Soft Skills

Problem-SolvingCommunicationAttention to DetailOrganizationTime Management

Certifications & Qualifications

RN State LicensureLCSW License Clinical Social Worker

Industry Keywords

MedicaidMedicareCommunity ResourcesCare Gap ClosureStakeholder Engagement

About the role

Key responsibilities & impact

Conduct outreach to members in the community to identify care gaps and connect them with appropriate healthcare services and resources
Perform home visits or community-based assessments to evaluate member needs and identify social determinants of health
Facilitate care coordination and help members access preventive or follow-up care
Help members navigate healthcare and social service systems
Assist with appointment scheduling, care-plan understanding, and access to benefits or entitlements
Collaborate with providers using quality performance data such as HEDIS and CAHPS
Educate members on preventive care, chronic condition management, and community resources
Document member interactions, care gap closures, and referrals in appropriate systems
Partner with Quality, Care Management, and Provider Relations departments
Monitor and report outreach effectiveness and care-gap closure metrics
Maintain compliance with state and federal regulations and organizational policies
Participate in seasonal campaigns and quality initiatives
Build relationships with local organizations and stakeholders as a community ambassador
Perform other duties as assigned and comply with all policies and standards

Requirements

What you’ll need

Bachelor's Degree in Social Work, Public Health, Nursing, or related field; or equivalent experience required
3+ years of direct experience in care coordination, care management, community/public health education, HEDIS, quality measures, or health screening assessments strongly preferred
3+ years of experience supporting preventive care outreach and helping members navigate community resources
Experience supporting members with physical health conditions, preventive care needs, and chronic disease management
Knowledge of Medicaid/Medicare programs and quality measures, including HEDIS
Field-based experience strongly preferred
Bilingual English/Spanish skills are a plus but not required
Strong clinical documentation, problem-solving, communication, attention to detail, organization, and time management skills required
Ability to adapt to changing business needs with openness, flexibility, and professionalism
Comfortable presenting findings clearly and concisely to various stakeholders
RN State Licensure and/or Compact State Licensure preferred
LCSW License Clinical Social Worker preferred
Must be based in the Dallas Fort Worth, TX area

Benefits

Comp & perks

Mileage reimbursement for travel in the community for member visits
Competitive pay
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