| Primary City/State: Phoenix, Arizona Department Name: HP Statewide Plan Admin Work Shift: Day Job Category: General Operations A rewarding career that fits your life. Those who have joined the Banner mission come from all walks of life, united by the common goal: Make health care easier, so life can be better. If changing health care for the better sounds like something you want to be part of, apply today. Children's Rehabilitative Services Member Advocate Provides a safe place, open communication, appreciates diversity of thought, attention to detail, problem-solvers/solution focused. Compassionate about the work that is being developed created and implemented to walk along side members and their families with a very invested team Your pay and benefits are important components of your journey at Banner Health. Banner Health offers a variety of benefits to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life.
Banner University Health Plans (BUHP) manage a variety of health plans. Our mission is to advance health and wellness through education, research and patient care. About Banner Health Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee. POSITION SUMMARY
This position works within the Banner University Health Plan Complete Care program and provides individual assistance to members, families and caregivers to help identify and overcome barriers which may hinder quality care, access to care, and outcomes. The Member Advocate will maintain member rights by educating members, responding to member and family needs/questions/grievances, resolving any issues, connecting with crisis response services when appropriate, and providing linkages to services and supports. This position directly reports to the Member Advocacy Administrator.
CORE FUNCTIONS
1. Communicates and disseminates information to members and families to identify concerns and remove barriers that affect service delivery or member satisfaction. Serves as an advocate for members and/or their families to access Complete Care and community resources. Offers member and/or family education related to system changes, member rights, the grievance process, self-help skills, and self-advocacy skills. Education efforts will include one-on-one support, classroom style workshops, large presentations and forums, and community resource fairs. This includes supporting department outreach efforts by assisting with presentations on legislation, wellness and recovery, accessing services, use of self-help tools, etc.
2. Effectively interfaces and collaborates with providers and staff to identify solutions to care coordination, involving all team members as needed, and advocating on behalf of the member.
3. Cultivates and fosters collaborative partnerships with key stakeholders to address needs, identify gaps in care and connection to community-based resources, supports and services; builds longstanding relationships through participation in military and/or veteran coalitions, advisory councils and events.
4. Collaborates with the other Member Advocates within the advocacy program, including but not limited to Children's Rehabilitation Services Member Advocate, Adult Behavioral Health Member Advocate, Child Behavioral Health Member Advocate, and Veteran Advocate. Works collaboratively with the BUHP Complete Care Management team to ensure members are offered appropriate guidance, coaching, and care coordination related to self-management, advocacy, navigating complex systems, and communicating with their healthcare professionals. Works collaboratively with the Member Advocacy Council to identify and follow-up on issues and opportunities identified by the Council.
5. Tracks all member/family member needs and contacts. Trends needs to inform website and social media updates, network gaps, provider education needs, workforce development strategies, and quality management efforts.
6. Coordinates administrative functions, including but not limited to administering assessments, scheduling care team meetings and completing meeting agendas and minutes
7. This position works with a high degree of independence, with freedom to determine how to best accomplish functions within established procedures. Majority of work is self-directed and independently executed from a work plan drive by ACC/Medicaid contract. This position confers with supervisor on any unusual situations. This position does not have budgetary responsibility. Facility and community based while remaining within budgetary allowances. Internal customers: Member Advocacy Administrator, Member Advocacy Council. External customers: Members, Family Members, Providers, AHCCCS, other Community Stakeholders.
Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Banner Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.
MINIMUM QUALIFICATIONS
Associate's degree or equivalent work experience.
Located in Arizona. One to two years of experience in healthcare member advocacy. Knowledge of existing community advocacy groups and ability to collaborate with multiple system stakeholders. Experience making decisions related to member care coordination throughout various facilities and with various specialty practices. Skills and experience in complex problem solving related to member experience and outcomes, human rights, and access to care.
PREFERRED QUALIFICATIONS
Bachelors degree in Social Services. Experience in direct service delivery setting - especially offering case management and/or community health worker services. Experience delivering training in a group setting. Bilingual in English/Spanish.
Additional related education and/or experience preferred. |
