Bilingual Care Advocate (English/Spanish) - Care Delivery
Job Details
- Languages
- Bilingual (English/Spanish)
- Experience
- 3+ years of relevant community outreach, facilitation, or healthcare experience.
Requirements
- Have 3+ years of relevant community outreach, facilitation, or healthcare experience.
- Have strong computer skills and the ability to navigate web-based and app-based systems.
- Have a high school diploma or GED; a college degree is preferred.
- Have a valid driver’s license and reliable transportation.
- Have a flexible schedule for occasional work outside regular business hours.
- Be able to drive to public places and member homes within a 50-mile radius of the listed New Mexico locations.
- Be able to use a computer, tablet, and smartphone to update data in multiple secure systems accurately.
- Be willing to complete and maintain CMS-mandated training and applicable state requirements.
- Community Health Worker training or certification is preferred; equivalent experience in community health, social services, or a related field will be considered.
- Experience navigating high-risk chronic conditions or complex care management is a major plus.
- Be able to frequently carry up to 30 pounds and stand or walk for the duration of home visits or member interactions.
Responsibilities
- Execute person-centered care plans for patients with serious, high-risk illnesses and assist with monitoring and revising disease-specific plans.
- Coordinate care between patients and billing practitioners, including provider availability, rescheduling, and post-hospital discharge support.
- Conduct person-centered assessments to identify social needs affecting the management of serious conditions.
- Develop action plans to address unmet needs such as food insecurity and housing instability.
- Help patients and caregivers navigate healthcare services, communicate with specialists, and coordinate transportation or telehealth access.
- Refer patients to supportive services and community-based resources, and maintain partnerships with local organizations.
- Use motivational interviewing and tailored education to support chronic illness management and treatment adherence.
- Coordinate technical workflows, troubleshoot issues, and update patient charts in the Case Management System.
- Maintain detailed interaction logs and documentation that meet Medicare clinical and social integration service standards.