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.
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.
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.
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.
Collaborates with the other Member Advocates within the advocacy program, including but not limited to Childrens 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.
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.
Coordinates administrative functions, including but not limited to administering assessments, scheduling care team meetings and completing meeting agendas and minutes
Associates 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.
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.
You want to change the health care industry – one life at a time. You belong here. You’re excited to be part of the dramatic changes happening in the health care field. In fact, you thrive on change. But you also understand that excellent, compassionate patient care is the true measure of the success of these changes. You belong at Banner Health. Our award-winning, comprehensive health system includes 23 hospitals in seven western states, primary care health centers, research centers, labs, a network of physician practices and much more. Throughout our system, skilled, compassionate professionals use the latest technology to change the way care is provided. If you’re looking to be a key contributor to a forward-looking organization, you’ll experience a wide variety of professional advantages: •Our vision for changing the future of health care gives you the opportunity to leverage your abilities to achieve something historic. •Our expansive system offers you an unmatched variety of clinical settings – from large urban trauma center to small rural hospital, ambulatory to home health. Our system also includes hospitals specializing in cancer, heart health and pediatrics. •Our many loc...ations also translate into a broad selection of exciting and rewarding lifestyle options – from the big city to the wide-open spaces. •Our commitment to healthcare innovation means you always have the latest technologies at your fingertips to help you provide the finest care possible. •The size, success and growth of our system provide you with the stability and options to pursue your desired career path. •Our competitive compensation and comprehensive benefits offer you options to complement your unique needs.