Member Advocate - Military Veterans
at Cook Children's Health Care System
Location:
Calmont Operations BuildingDepartment:
Member ServicesShift:
First Shift (United States of America)Standard Weekly Hours:
40Summary:
The Member Advocate will serve as a Liaison between the Members and Cook Children's Health Plan (CCHP). The Member Advocate will help Members and their Legally Authorized Representatives (LARs) navigate through the complexities of the healthcare system. The Member Advocate will guide and educate Members on their benefits, Member Rights & Responsibilities, Complaints and Appeals all while maintaining cultural sensitivity and confidentiality. The Member Advocate will deliver a highly satisfactory customer experience by responding to every inquiry immediately and directly, when possible, or by collaborating with other CCHP team members involved in the delivery of care to our Members. The Member Advocate will serve as expert in community resources most frequently needed by CCHP Members and finding hard to reach members.Additional Information:
Education and Experience
1. High School Diploma or Equivalent required
2. Bilingual (English/Spanish) required. Must pass Spanish test prior to hire.
3. Must have 1-2 years experience in Community Outreach or Member Advocate services.
4. Must have 1-2 years' experience working with health insurance in a health plan setting and be knowledgeable of health insurance terminology.
Licensure, Registration, and/or Certification
Community Health Worker certification required to obtain within 1 year of hire
Valid Driver's License required.
Knowledge, Skills & Abilities
1. Knowledge of state Managed Care Programs (Medicaid, CHIP/CHIP Perinatal) including healthcare advocacy required.
2. Excellent oral and written communication skills a must as will be required to draft member educational materials.
3. Must be able to handle multiple tasks at once and maintain organization.
4. Prioritizing and time management skills are a must. Must be flexible and comfortable working in an environment that includes constant change to program requirements.
5. Strong problem-solving skills and the ability to make independent decisions including the ability to manage difficult callers and resolve any departmental conflicts that may arise.
6. Required to work independently as well as within a team environment, prioritize and track outstanding work while acknowledging that all CCHP Members are the number one priority.
7. Efficient in Microsoft Office (Word, Excel, Access, Outlook, PowerPoint) including the ability to document quickly and accurately in between calls.
About Us:
Cook Children's Health Plan
Cook Children's Health Plan provides vital coverage to nearly 120,000 people in low-income families who qualify for government-sponsored programs in our six county service region. Cook Children's Health Plan provides health coverage for CHIP, CHIP Perinatal, STAR (Medicaid) and STAR Kids Members in the Tarrant county service area. The counties we serve includes Tarrant, Johnson, Denton, Parker, Hood and Wise.
Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.
Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.
Fort Worth, TX
Promise, a strong word with deep meaning that everyone understands—especially kids. This is the foundation of our organization and what drives us to blaze new trails in medical care, research, advanced technology, as well as programs and initiatives that benefit children who may not otherwise have access to quality health care. Every day our employees come to work with the intention of keeping our Promise. It's the guiding principle that helps our patients and their families get better and stay healthy. As a member of our Cook Children's team, you can be an important part of making that happen.
At Cook Children's, we believe it's not just about finding a position, it's about finding the right fit for your career. We are driven by our unique Promise that challenges us every day to push the boundaries of care inside our walls and far beyond them. It motivates us to help ensure that children and families can have healthy, happy lives. This vision not only binds us together, but gives each of us a purpose at work, at home, and in our communities. Our Promise is more than what we do. It's who we are, because ... #WeAreCookChildren's.