Clinical Care Bridge:

Act as the link between the patient and the billing practitioner. Support care coordination by managing provider availability, rescheduling, and providing post-hospital discharge support.

SDOH Assessment & Goal Setting:

Conduct person-centered assessments to understand the patient's social and cultural context. Identify unmet social needs—such as food insecurity or housing instability—that impact the management of their serious condition and develop specific action plans to address them.

System Navigation & Advocacy:

Assist patients and caregivers in navigating the Pennsylvania healthcare landscape. Teach self-advocacy skills to help patients communicate effectively with specialists and coordinate transportation or access to telehealth.

Technical & Workflow Support:

Support patient communication templates and automation. Coordinate with the tech team to set up workflows, handle technical troubleshooting, and update patient charts in the Case Management System (CMS) with precision.

Resource Coordination:

Refer patients to supportive services and community-based resources. Establish and maintain partnerships with local Pennsylvania organizations to bring targeted resources (legal aid, food assistance, etc.) to our members' attention.

Behavioral & Social Support:

Use motivational interviewing and capacity-building to help patients manage the stress of chronic illness. Provide tailored education to improve treatment adherence and offer emotional support to families and caregivers.

CMS Compliance & Documentation:

Maintain detailed logs of all interactions, including the amount of time spent and specific activities performed. Ensure all documentation meets the standards required for Medicare clinical and social integration services.

Essential Functions:

PA Locality:

Safely and consistently drive to public places and member homes within a 50-mile radius in Pennsylvania.

Remote Independence:

Successfully work in a remote team environment with high independence and minimal oversight.

Physical Presence:

Frequently carry up to 30 pounds of supplies and stand/walk for the duration of home visits or member interactions.

Digital Literacy:

Ability to use a computer, tablet, and smartphone to update data in multiple secure systems with accuracy. Requirements The Successful Care Advocate will:

Compliance:

Be willing to complete and maintain all CMS-mandated training and state-applicable requirements, including competencies in interpersonal building, service coordination, and professional ethical conduct.

Experience:

Have 3+ years of relevant community outreach, facilitation, or healthcare experience. Experience navigating high-risk chronic conditions or complex care management is a major plus.

Technical Savvy:

Have strong computer skills and the ability to navigate web-based and app-based systems with ease.

Cultural Competency:

Possess a deep understanding of the socio-economic and public health challenges facing disenfranchised populations in Pennsylvania.

Communication:

Have excellent written and verbal communication skills, with an outgoing personality and the ability to motivate and influence different types of people.

Logistics:

Have a high school diploma/GED (college degree preferred). Must have a valid driver's license, reliable transportation, and a flexible schedule for occasional work outside regular business hours.

Commitment:

Be committed to a drug-free workplace and ready for pre-employment substance abuse testing and background checks. Benefits As a venture-backed company, Wider Circle offers competitive compensation, including: Comprehensive health coverage, including medical, dental, and vision 401(k)

Plan Paid Time Off Employee Assistance Program Health Care FSA Dependent Care FSA Health Savings Account Voluntary Disability Benefits Basic Life and AD&D Insurance Adoption Assistance Program Training and Development Compensation:

$22.22 - $25.51 per hour And most importantly, an opportunity to make the world a better place! Wider Circle is proud to be an equal-opportunity employer that does not tolerate discrimination or harassment, of any kind. Our commitment to Diversity & Inclusion supports our ability to build diverse teams and develop inclusive work environments. We believe in empowering people and valuing their differences. 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