• Job Description

  Req#: R-4466

  Care Advocate II - Behavioral Health

  Remote within WA, OR, ID, UT - must reside within the 4 states.

  Outside 4 States will not qualify.

  Primary Job Purpose:

  The Care Advocate II participates in the integrated approach to care management for members. This role provides outreach as part of specific care gap initiatives or as an on-going part of a care management team. The position works with members to achieve their personal health outcomes by removing barriers and providing support and education. The Care Advocate II encourages engagement in health-related activities and programs and provides appropriate referrals to internal or external services and resources.

  Responsibilities:

  • Initiates outbound telephone calls or emails to members identified for the Regence Care Management Programs for defined care gap initiatives.

  • Utilizes motivational interviewing and behavioral change principles to encourage engagement in health-related activities and programs.

  • Educates members by providing the tools and information they need to adhere to nationally recognized preventive screenings, discharge and treatment plans.

  • Works with a Care Manager to assure that member needs are met through identification and referral to appropriate resources.

  • Makes referrals to licensed clinical staff as appropriate.

  • Utilizes the applicable care management platform to appropriately record and track member interactions.

  • Initiates outbound telephone calls to members in potentially complex healthcare situations (e.g. hospital discharge or admission to skilled nursing facility).

  • Provides members with support, encouragement and education to improve the member’s ability to make informed healthcare decisions, navigate care options and to take actions in order to improve well-being and prevent/minimize disease.

  • May assist with activities in support of the Clinical Services Team, including but not limited to program communications and training.

  • Identifies areas in need of improvement in all aspects of program and provide recommendations for solutions.

  Minimum Requirements:

  • Strong communication skills with the ability to effectively interact with a wide variety of individuals on highly sensitive topics.

  • Strong customer service skills including listening, patience, empathy and maintaining confidentiality.

  • General organization, data entry and administrative skills.

  • Proven ability to effectively handle multiple tasks and prioritize workload.

  • General computer skills (including use of Microsoft Office, Outlook, Internet search).

  • Ability to work a varied schedule such as early evening.

  • Basic knowledge of medical terminology and familiarity with topics such as specific disease and lifestyle topics and related resources.

  • Ability to work independently, to prioritize work, meet deadlines and achieve operational standards.

  • Ability to research and problem solve in a creative manner to reach a solution.

  • Ability to identify when it is appropriate to refer to others.

  • Knowledge of health-related topics and a general understanding of clinical services programs such as Utilization Management, Care Management and Disease Management. Typically demonstrated by at least 2 years of successful Care Advocate experience and ability to handle a wide range of member issues or interventions.

  • Proven ability to effectively engage and motivate others to take action regarding their health.

  • Proven ability to work collaboratively in a team environment and actively contribute to a team success.

  • Ability to understand clinical documentation such as hospital discharge plans or clinical progress notes to make appropriate care management referrals.

  • Demonstrated ability to be pro-active such as taking on additional projects and continuing to develop skills.

  Normally to be proficient in the competencies listed above

  The Care Advocate II would have an Associate's degree or clinical certification such as a CNA, Medical Assistant, and 5 years of health-related experience including at least 2 years of Care Advocate or similar experience or an equivalent combination of education and experience.

  #LI-remote

  Work Environment:

  • Work primarily performed in the office or home-office environment, conducive to performing confidential telephonic meetings.

  • May be required to work alternate work schedule or overtime.

  • May be required to work outside normal schedule.

  The starting base pay for the Care Advocate II is $26.00 - $35.00 an hour depending on experience and geographical location. The current full salary range for this role is $25.65 - $39.70 an hour. The bonus target for this position is 5%.

  At Cambia, we take a variety of factors into account when creating a job offer, including your skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. While we offer competitive salaries, in general, we do not hire candidates at or near the top of the pay range.

  Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:

  • medical, dental, and vision coverage for employees and their eligible family members

  • annual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)

  • paid time off varying by role and tenure in addition to 10 company holidays

  • up to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)

  • up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)

  • one-time furniture and equipment allowance for employees working from home

  • up to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.

  We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.

  If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com . Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy . As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.

• About the company

  Cambia Health Solutions is a nonprofit health care company based in Portland, Oregon.

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