Children Rehabilitation Services Member Advocate

Banner Health Tucson , AZ 85704

Posted 6 months ago

Health care is constantly changing, and at Banner Health, we are at the front of that change. We are leading health care to make the experience the best it can be.

We want to change the lives of those in our care and the people who choose to take on this challenge. If changing health care for the better sounds like something you want to be part of, we want to hear from you.

As a Children's Rehabilitation Services Member Advocate within our Insurance Division, there will be exciting opportunities to be part of the health care transformation. We are known nationally as an innovative leader in new health care models, where insurance plans and physicians come together to work collaboratively to make things easier for the member. The division serves over 500,000 members in our community.

Schedule:

Flexibility with work time. Position may require attending evening/weekend meetings and community outreach.

Opportunities to work remote!

About Us

Banner University Health Plans (BUHP) is a managed care plan and part of Banner Health. BUHP offers two Medicaid (AHCCCS) Health Plans Arizona Long Term Care and Acute care BUHP will be offered in ten Arizona Counties in southern and central Arizona. We also offer a Medicare Special Needs Plan (D SNP) for members that are Medicare and Medicaid Dual-eligible beneficiaries.

Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans 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.

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About University Physicians Health Plans

The University of Arizona Health Plans (UAHP) 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.

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Job 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.

Essential Functions

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

Minimum Qualifications

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.

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.



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Children Rehabilitation Services Member Advocate

Banner Health