Activities Director

Member Advocate

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:

To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation.

• 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

Required Computer Software/Equipment Used:
• Various operating systems
• Standard office equipment
• Microsoft Suite applications

QUALIFICATIONS:

•

Education:

o Associate's degree preferred
•

Experience:

o Experience in a healthcare delivery setting with elderly patients as either a clinician, social worker or caregiver preferred
• License /

Education:

o Associate's degree preferred o 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…