Patient Continuity and Needs Advocate
Core
Serves as a bridge between patients and comprehensive care, ensuring eligible patients receive the right healthcare plan and support services tailored to their unique needs.
Role type
Patient Continuity and Needs Advocate (PCNA)
Builds
Patient retention strategies and seamless care transitions
Domain
Senior healthcare / Medicare Advantage
Deliverable
client delivery
Required skills
Patient advocacy, Retention & re-engagement, Care continuity, Documentation in EMR/Salesforce, Knowledge of healthcare benefit services, Customer service, Understanding of member attribution and disenrollment
Preferred skills
Experience working with insurance brokers or agents, Knowledge of Medicare Advantage
Technologies
Salesforce, Electronic Medical Records (EMR), Microsoft Office Suite
Responsibilities
Evaluate patient needs and connect individuals with health plans and community resources, Proactively reach out to disenrolled members to facilitate return to care, Collaborate with leadership and clinical staff on retention strategies, Ensure seamless transitions to prevent gaps in care, Document patient information and issues in compliance with HIPAA
Seniority
Individual Contributor