Advocate

• Make inbound and outbound calls to members and providers to schedule healthcare visits, screenings, vaccinations, and medication refills
• Work through barriers that prevent members from achieving good health
• Deliver a professional and empathetic member experience
• Educate members to support informed health decisions and improve health outcomes
• Explain benefits related to screenings, medications, activities, and follow-up care
• Assist members with appointments, medication refills, and health-service resources
• Accurately document conversations in members’ health records
• Answer questions, resolve issues, and escalate issues when needed
• Meet business metrics and performance goals
• Complete four weeks of virtual training, potentially on a different shift temporarily

CVS Health Health Advocate guiding Medicaid members through screenings, medications, and follow-up care

Health Advocate – Inbound/Outbound Calls

CVS Health Health Advocate contacting Medicaid members and providers about screenings, medications, appointments, and follow-up care. Documenting health interactions and improving member outcomes remotely.

• Communicate with insureds, carriers, adjusters, and attorneys/counsel throughout the life of a claim
• Review and evaluate insurance policies to determine where coverage potentially exists
• Evaluate legal documents, including complaints, leases, and contracts, to determine proper claim handling, liability, and insurable interest
• Advocate first-party property claims from initial claim report through settlement on behalf of HUB clients
• Organize and participate in claim review meetings and new business presentations
• Maintain file diaries for follow-up and document all follow-ups within claim files
• Interact with account service teams
• Create and issue correspondence, including written advocacy on behalf of HUB clients
• Track claim success stories
• Contribute to quarterly newsletters and articles based on claim scenarios
• Demonstrate effective team management skills

Senior Claims Advocate managing first-party property claims for HUB International, a commercial insurance broker

Senior Claims Advocate

Senior Claims Advocate managing first-party property claims for HUB International, a leading commercial insurance broker. Reviewing coverage, liability, legal documents, and settlements while advocating for clients.

• Provides outstanding support to inbound callers regarding Health Spending Account, COBRA, Retiree or Exchange inquiries and requests.
• Assists with enrollment related to Health Spending Account, COBRA, Retiree or Exchange programs
• Answer inbound calls professionally, with high energy and a positive attitude and a little charm.
• Respond accurately and thoroughly to caller inquiries and document call details accordingly.
• Ensure compliance in all areas of processing, completing all transactions timely and accurately.
• Take accountability for the entire process from receipt of work to resolution.
• The ability to jump in and help. This is a “roll up your sleeves” position, and you will need to understand our business, our client’s business, and processes so you can help others effectively do their jobs.
• Work under general supervision following established procedures.

Senior Member Advocate supporting clients with Health Spending Account inquiries

Senior Member Services Advocate

Senior Member Advocate providing support for Health Spending Account inquiries via phone. Fostering relationships with clients through responsive service and assistance in enrollment processes.

• Oversees the development and implementation of the site nursing operations plan including staffing resource requirements, care models, workflows and throughput, equipment, and technology in alignment with the site and system nursing strategy.
• Responsible for nursing clinical quality performance, team member engagement in areas of accountability, and patient experience.
• Promotes a culture of safety and high reliability behaviors.
• Commits to continuous quality improvement.
• Monitors performance to clinical quality targets and develops plans to address gaps using rigorous quality improvement methods and resources.
• Develops short- and long-term strategic plans, including growth and innovation strategies.
• Ensures nursing strategies align with patient service area and system strategies and effectively support the achievement of the organization's objectives and mission.
• Supports interprofessional, team-based improvement initiatives.
• Develops new care delivery models that align with evidence-based practices and with key safety and economic drivers.
• Oversees the development and administration of policies and procedures to accomplish department-specific and organizational initiatives.

Chief Nursing Officer overseeing nursing operations at Advocate Children's Hospital

Chief Nursing Officer

Chief Nursing Officer overseeing nursing operations and quality performance at Advocate Children's Hospital. Responsible for strategic planning and achieving organizational objectives in healthcare.

• Provide crisis coverage as assigned; respond within 45 minutes to the police station, work with family and youth toward a resolution to the crisis, assess immediate needs of family and complete all necessary paperwork.
• Understand and work within a positive youth development and Balanced and Restorative Justice framework.
• Maintain ongoing case management for assigned cases, including daily contact with guardians and youth; making arrangements with the family for school, transportation and record keeping functions; collaborating with appropriate individuals, agencies or service systems to ensure client accessibility to services.
• Provide transportation for youth to school, temporary shelter, or to any other appointments during youth’s placement with Alternatives, Inc.
• Facilitate weekly groups and provide youth development programming as assigned.
• Follow-up on all status referrals from the police by phone or letter.
• Assist in preparing cases to be petitioned in court, including collecting necessary information from the family, preparing social history report, orienting guardians to the court process and making arrangements with court personnel. This may also include transporting youth to court.
• Implement therapeutic and youth development focused day programs with youth in placement during school holidays and summer.
• Use eCornerstone data entry system and other data systems as assigned as well as the Youth Assessment Screening Instrument (YASI) assessment for each client case.
• Demonstrate knowledge of Alternatives’ policies, practices and services, and communicate these to clients, and where assigned, to other community organizations and members.
• Attend and actively participate in all agency and program staff meetings, in-service trainings and weekly supervisory meetings.
• Provide coverage of intakes, both phone and walk-in, providing crisis intervention and making referrals when appropriate.
• Complete in a timely fashion all other tasks and individually established goals as assigned.

Youth Advocate providing crisis intervention and case management for adolescents

Youth Advocate

Youth Advocate providing crisis intervention and direct case management for adolescents at Alternatives, Inc. Supporting youth in crisis and facilitating development programming under supervisory guidance.

Advocate jobs in Illinois

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Health Advocate – Inbound/Outbound Calls

Senior Claims Advocate

Senior Member Services Advocate

Chief Nursing Officer

Youth Advocate