Personal Health Advocate

Health Advocate

Personal Health Advocate at Health Advocate supporting and guiding members through healthcare complexities. Managing a diverse range of healthcare issues and facilitating access to necessary services and resources.

Posted 7/6/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in clinical care and medical management, with a strong focus on patient education, communication, and problem-solving. Proficient in utilizing case management systems and maintaining up-to-date knowledge of healthcare policies and procedures.

Highest-signal resume keywords

BSN Or RN DegreeActive And Unrestricted RN LicenseClinical And Medical Management ExperienceStrong Communication SkillsCustomer Service Skills

ATS Keywords

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Applicant Tracking System Keywords

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

Hard Skills

Medical TerminologyCase ManagementPatient Care ProceduresDiagnosisPre-CertificationPrior AuthorizationHealth TestingTest Result InterpretationResearch ProvidersDocumentation

Soft Skills

Strong Problem Solving SkillsEffective Listening SkillsOrganizational SkillsTeam CollaborationPhone Etiquette

Tools & Technologies

Microsoft WordMicrosoft Excel

Certifications & Qualifications

RN License

Industry Keywords

HealthcarePatient CareMedical ManagementHealth OptionsCredentialing

About the role

Key responsibilities & impact

Receive calls from members in regards to various healthcare issues (e.g., infertility, disease, medication, etc.) and determine best course of action/s to assist the members while adhering to established policies, procedures, and key performance indicators (KPIs)
Build relationships with members in order to collaborate and develop plans of action by going above and beyond members’ initial requests
Assist and educate members in understanding their medical conditions, associated health testing, test result interpretation, and health options available to them
Provide members choices in medical care providers and services based on the members’ clinical needs, geographic locations and available benefit offerings
Research providers through credentialing, education checks and affiliations with notable medical centers within the member’s plan
Facilitate communication among members, treating physicians, and insurance carriers
Document cases in the department’s case management system using approved processes and procedures
Keep up-to-date on patient care procedures which include diagnosis, pre-certification, prior authorization, pre-service and post-service denials
Continuously stay up to date on various health issues and medical procedures necessary to offer top of the line feedback to members
Mentor new team members

Requirements

What you’ll need

BSN or RN degree from an accredited college or university required
Minimum three to five years clinical and/or medical management experience
Active and unrestricted State or Multi-State RN License
Understanding of medical terminology to assist in locating appropriate care options
Strong Communication skills and phone etiquette
Strong ability to explain complex issues to employees/retirees
Highly effective listening skills
Strong problem solving/issues resolution skills
Excellent customer service and customer resolution skills
Organizational and administrative skills
Experience with Microsoft Word and Excel
Ability to work in a team environment

Benefits

Comp & perks

Helping people every single day
Training provided to do jobs well
Supportive and friendly work environment
Opportunities for growth and career advancement