Community Health Advocate - TRICARE

Job Summary:

This position supports TRICARE Prime® Demo by CareSource Military & Veterans, which aims to enhance healthcare access and prioritize the unique needs of the military community. We encourage military affiliated individuals, veterans, military spouses, and those with prior TRICARE experience to apply.

The Community Health Advocate – TRICARE is responsible for participating as a member of the Care Management Team to coordinate care for beneficiaries.

Essential Functions:

• Engage with the beneficiary in a variety of settings to establish an effective, professional relationship. Settings for engagement include but are not limited to hospital, provider office, community agency, beneficiary’s home, telephonic or electronic communication
• Verify eligibility, previous enrollment history, demographics and current health/psychosocial status of each beneficiary
• Accompany beneficiaries to appointments and other social service encounters when necessary
• Contribute to assessments by gathering information from the beneficiary, family, provider and other stakeholders
• Contribute to the development and implementation of care plan, reporting information to the Care Manager
• Assist with the provision of health education and wellness materials as directed by the Care Manager(s) or Team Leader
• Provide linkage to community resources for social and emotional supports
• Provide program or campaign support and assistance through engagement of special population beneficiaries (i.e. high ED utilizer, tobacco and vaping cessation, continuity of care)
• Assist beneficiaries to close gaps in care by removing barriers and access to care concerns
• Maintain appropriate documentation within protocols and guidelines of the Care Management program
• In each interaction, the employee will aspire to help the beneficiary to feel informed, empowered, and supported by CareSource Military and Veterans
• Regular travel to conduct beneficiary visits, provider visits and community-based visits as needed to ensure effective administration of the program
• Support assessment team with entering completed assessments into the clinical management system, as needed
• Perform any other job duties as requested

Education and Experience:

• High School Diploma or General Education Diploma (GED), is required
• Minimum of two (2) years of experience in either volunteer or paid position working in community settings with military and veteran populations providing coordination of services is preferred
• Experience with military culture is required
• Military affiliation or TRICARE experience is preferred

Competencies, Knowledge and Skills:

• Proficient with Microsoft Office, including Outlook, Word and Excel
• Sensitivity to and experience working within different cultures
• Good interpersonal skills
• Ability to work independently and within a team environment
• Ability to identify problems and opportunities and communicate to management
• Developing knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
• Demonstrate compassion, support and collaboration with beneficiaries and families
• Self-motivated and inquisitive
• Comfort with asking pertinent questions
• Ability to work in a fast-paced environment
• Ability to demonstrate and promote ethical conduct
• Ability to develop positive relationships with all stakeholders
• Awareness of community & state support resources
• Organized, detail-oriented and conflict resolution skills
• Ability to keep composure and professionalism during times of high emotional stress
• Ability to maintain confidentiality and act in the company’s best interest
• Proven track record of demonstrating empathy and compassion for individuals
• Proven track record for improving processes to make things easier for those you have served

Licensure and Certification:

• Harold P. Freeman Patient Navigation Institute Certification, or equivalent approved training program, is preferred
• Any CHW accredited certification is preferred
• Employment in this position is conditional pending successful clearance of a driver’s license record check.  If the driver’s license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in this position will be terminated
• To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource Military and Veterans requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.
• CareSource Military and Veterans adheres to all federal  regulations. CareSource Military and Veterans provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process.

Working Conditions:

• Mobile Worker:  This is a mobile position, meaning that regular travel to different work locations is essential.  Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time.
• Reside in the same territory they are assigned to work in; exceptions may be considered, due to business need
• May be required to travel greater than 50% of time to perform work duties.  A valid driver’s license, car, and insurance are necessary for work related travel
• Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer
• Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our beneficiaries and may refer beneficiaries to other CareSource Military and Veterans resources

Compensation Range:
$35,200.00 - $56,200.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type:
Hourly

Competencies:
- Create an Inclusive Environment - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.

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