United Healthcare Employment – Member Advocate

United Healthcare
healthcare advocate ecf community develops advocacy meetings delivery family health transportation assistance cra
January 3, 2023
United Healthcare
FULL_TIME

Job Description:


Develops and implements annual plan for TennCare ECF CHOICES Long Term Services and Supports (LTSS) member advocacy program and related activities designed to meet Contractor Risk Agreement (CRA) requirements


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Job Responsibilities:



  • Provides cross coverage of CHOICES advocacy issues, when other team members are out

  • Works to ensure member satisfaction. Identifies member dissatisfaction risks and escalates and/or resolves as appropriate

  • Facilitates and manages Member Advisory Group and Members Only Advisory meetings and activities for designated region

  • Represents the ECF CHOICES members’ interests including, but not limited to, planning and delivery of long-term care services and supports, ECF CHOICES QM/QI activities, program monitoring and evaluation, as well as member, family, and provider education

  • Develops partnership and collaborates with community agencies, organizations, and faith-based institutions in designated region

  • Assists ECF CHOICES members to resolve social determents of health (SDOH) needs and navigation of the health plan. Escalates issues as appropriate


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Job Requirements:



  • Experience with TennCare ECF CHOICES service delivery or Department Intellectual and Developmental Disability (DIDD) services

  • 3+ years of experience working with community support organizations available to individuals with intellectual and/or developmental disabilities (I/DD) organizations addressing SDoH (e.g., food banks, non-emergent transportation, utility assistance, housing / rapid re-housing assistance, etc.)

  • Reliable transportation and the ability to travel within the Middle Grand Region area of TN, when required, to meet with members, community representatives and providers

  • 1+ years of experience providing community outreach and facilitating member advisory meetings/patient-family councils

  • 1+ years of experience with MS Office, including Word, Excel, Outlook and PowerPoint

  • Knowledgeable about member benefits of TennCare and Medicare including administration of benefits


Job Details:


Company: United Healthcare


Vacancy Type: Full Time


Job Location: Brentwood, TN, US


Application Deadline: N/A


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