Patient Care Advocate
• Works with members and providers to close care gaps, ensure barriers to care are removed, and improve the overall member and provider experience through outreach and face-to-face interaction with members and providers at large IPA and/or group practices• Serves to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS measures and ICD-10 medical coding• Supports the implementation of quality improvement interventions and audits in relation to plan providers• Assists in resolving deficiencies impacting plan compliance to meeting State and Federal standards for HEDIS measures• Conducts telephonic outreach, while embedded in the providers' offices, to members who are identified as needing preventive services in support of quality initiatives and regulatory/contractual requirements• Provides education to members regarding the care gaps they have when in the provider's office for medical appointments• Schedules doctor appointments on behalf of the practitioner and assists member with wraparound services such as arranging transportation, and connecting them with community-based resources and other affinity programs as available• Maintains confidentiality of business and protected health information