Job Description

Job Description

Job Description

Description:

PATIENT ADVOCATE

(OCCUPATION CODE AND TITLE ARE PENDING)

Summary/Objective:

The Patient Advocate works directly with beneficiaries and families who have filed an appeal of discharge or termination of services to decrease the likelihood of readmission to acute inpatient care. This position description applies to full-time and part-time Patient Advocates.

Primary Duties:

• Provides education, advocacy, resource access, and targeted support to assist beneficiaries and their representatives.
• Provides crisis intervention and emotional support to beneficiaries and their representatives.
• Develops and maintains working relationships with community agencies.
• Acts as a neutral liaison for beneficiaries and their representatives.
• Informs beneficiaries and other interested parties of their rights and responsibilities as patients covered by the Medicare program.
• Collaborates with internal and external Quality Improvement Organization (QIO) staff to develop and implement healthcare improvement projects.
• Protects the confidentiality of patient information through compliance with the Health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health Act (HITECH).
• Attends annual security awareness, rules of conduct, and conflict of interest training.
• Performs other duties as assigned.

Essential Knowledge:

Must be detail-oriented and knowledgeable of medical procedures, such as diagnosis and treatment methods. Must have a proven ability to navigate the healthcare system.

Essential Education:

• Either
• A certificate of completion for coursework in any allied health professional field as determined on a case-by-case basis (e.g., therapy, physical therapy, occupational therapy, respiratory therapy, or licensed practice nurse) OR
• An associate's or bachelor's degree in Nursing, Social Work, Psychology, or other healthcare-related fields from an accredited college or university.
• A minimum of two to four years of experience in acute case management, in transition of care, or in social services is preferred.
• Any change in license status requires HR notification within five calendar days.

Essential Skills:

• Ability to work closely with all types of individuals.
• Ability to listen to others.
• Ability to organize and coordinate multiple simultaneous tasks in a team environment.
• Ability to follow complex written and oral instructions.
• Ability to collect data, distinguish relevant material, and exercise sound judgment.
• Problem-solving skills.
• Ability to maintain objectivity.
• Strong computer keyboarding skills.
• Ability to write in standard, plain English language.
• Ability to work independently with minimal supervision.
• Ability to communicate accurately, consistently, timely, clearly, empathetically, respectfully, and effectively with beneficiaries, representatives, and providers, both verbally and in writing.

Organizational "Fit" Considerations:

Schedules may vary and may include weekends and holiday shifts. Requires established, professional relationships internally with people at all levels, physicians, and others outside the company.

SCA Coverage:

Company is a federal contractor under the McNamara-O'Hara Service Contract Act (SCA).

The McNamara-O'Hara Service Contract Act (SCA) covers prime contracts of over $2,500 entered into by the federal government and the District of Columbia. The principal purpose of the contract is to furnish services in the U.S. through the use of service employees. The definition of "service employee" includes any employee engaged in performing services on a covered contract other than a bona fide executive, administrative, or professional employee who meets the exemption criteria outlined in 29 Code of Federal Regulations (CFR) §541. Under the SCA, covered employers must pay the prevailing wages and benefits in the locality—as determined by the U.S. Department of Labor (DOL) in a wage determination.

Patient Advocate is considered a "service position," and a request for adding this classification was sent to the Department of Labor in November 2016 to be included in the current Wage Determination. For more information on this Occupation Code, please refer to the SCA Directory of Occupations at

Wage Determinations and employee rights on government contracts are posted in breakrooms or an alternative location where labor law posters are displayed for employees to review.

Livanta LLC is an equal employment opportunity / affirmative action employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All personnel processes are merit-based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military and veteran status or any other characteristic protected by applicable law. Livanta believes that diversity and inclusion among our teammates is critical to our success and we seek to recruit, develop and retain the most talented people from a diverse candidate pool.

If you need assistance or an accommodation due to a disability, you may contact us at 757-306-4920 or [email protected].

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