Activities Director Job San Antonio Texas USA,Healthcare

American Health Plans
San Antonio, TX, USA

Description

JOB SUMMARY:
The Member Advocate is a customer-service focused position that will support local service areas. The position requires reasonable work-from-home space as no formal office space/work location is provided; however, the Member Advocate will conduct their work at partner nursing homes within a specific work region.

ESSENTIAL

JOB DUTIES:

Welcome all new members in accordance with established Plan processes
Visit or contact assigned members at least monthly
Develop and maintain relationships with key network providers, nursing home staff, and facilities within assigned region
Annually sponsor or assist a minimum of one group activity at each regional nursing facilities
Contact Tru Health staff or appointees at least monthly, but more often as appropriate, to discuss and ensure the needs of the Member and Plan are met; coordinate facility visits within the team to ensure necessary coverage for the facility
Document all activities as required
Follow up on any item(s) members are dissatisfied with and report to Plan accordingly
Ensure all interactions with the members are compliant with CMS regulations
Attend meetings as necessary
Other responsibilities as assigned

JOB REQUIREMENTS:

Exceptional interpersonal skills with demonstrated ability to work independently as well as with a team; must be a good listener to understand feedback from the family
Ability to work well with staff at each of the nursing homes in the assigned region to include nursing staff, doctors, and administration staff
Ability to deliver outstanding customer service with a proven track record
Exceptional organizational skills
Willingness and ability to travel to facilities within assigned region
Have suitable home workspace allowing for productive office environment
Compliant with CMS regulations regarding Medicare Advantage Plans
Successfully complete required training
Handle multiple priorities effectively
Independent discretion
Reliable transportation
Possess clean driving record and current automobile insurance according to company policy
Maintain regular and reliable attendance
Successfully complete required training
Handle multiple priorities effectively

Required Computer Software/Equipment Used:

Various operating systems
Standard office equipment
Microsoft Suite applications

QUALIFICATIONS:

Education:
- Associate’s degree preferred
Experience:
- Experience in a healthcare delivery setting with elderly patients as either a clinician, social worker or caregiver preferred
License /

Education:
- Associate’s degree preferred
- State driver’s license

COMPANY

COMPETENCIES:

Respect – We treat people as they want to be treated, showing regard for their rights and privacy
Integrity – We emphasize honesty, fairness, and doing the right thing even when no one is watching
Teamwork – We work collaboratively to improve processes, resolve problems and reward results
Excellence – We hold ourselves to the highest standards, aspiring to zero defects in every task
Compassion – We respond to those who need help with sensitivity and a positive attitude
Professionalism – We perform our duties with skill, good judgement and politeness

JOB

COMPETENCIES:

1. Analytical Thinking:
Able to gather and analyze data and reach appropriate conclusions; solves problems in a timely manner.

2. Customer and Personal Service:
Possess good interpersonal skills while dealing with emotional or difficult situations; respond promptly to customer’s needs. Knowledge of principles and processes for providing personal services, including needs assessment; meeting quality standards.

3. Accountability:
Accepts responsibility for own decisions, actions, and results; able to maintain dependable behavior in times of crisis or complexity.

4. Attendance:
Is…