Member Advocate Job at Arlo (New York City)

Care Management Specialist II, D-SNP Team

The Care Management Specialist II utilizes clinical skills and training to perfo...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Associate's Degree in Nursing for Registered Nurses OR Master's Degree in Social Work for Licensed Clinical Social Workers
Minimum of 3 years of recent care management experience with responsibilities of managing complex acute or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments
Experience providing care management with complex/catastrophic conditions
Current knowledge of clinical standards of care and disease processes
Critical thinking skill
Excellent customer service skills
Ability to clinically analyze the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and implement the most effective member-centered interventions
Ability to triage immediate member health and safety risks
Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping
Strong verbal and written communications skills to consult effectively with interdisciplinary teams, coordinate care with members and their families, and other internal and external stakeholders

Job Responsibility

Utilizes clinical skills and training to perform essential functions of care management for identified and assigned member population according to Health Insurance Portability and Accountability Act (HIPAA) guidelines
Manages a specified caseload across the entire continuum of programmatic levels including those within National Committee for Quality Assurance (NCQA) scope or otherwise Complex/Catastrophic cases
Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating member access to care in a timely and cost-effective manner
Collaborates and communicates with member, family, and interdisciplinary health team to promote wellness and member empowerment, while ensuring access to appropriate services across the healthcare continuum and maximizing member benefit
Serves as clinical advocate for members, active interdisciplinary team member, liaison with other departments and external health care team
Provides direction and assistance to Care Coordinators and to Community Health Workers (CHW) of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines
Uses claims processing and care management software to look up member information, document contacts, and track member progress
Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs
Conducts Care Management services for the most complex and vulnerable members including: engaging in member centric communication which includes the interdisciplinary team, providers and family or authorized representatives
reviewing member claims histories and identifies intervention opportunities through the professional standards of practice

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

New

Community Health Worker

Become a part of our caring community and help us put health first. Humana Healt...

Location

United States , Virginia Beach; Norfolk; Chesapeake; Portsmouth

Salary:

41900.00 - 56600.00 USD / Year

Humana

Expiration Date

Until further notice

Requirements

Must reside in the Tidewater Region of the Commonwealth of Virginia in the counties/independent cities of: Virginia Beach, Norfolk, Chesapeake and Portsmouth
Minimum two (2) years prior experience working with community resources, community health agencies/social service agencies
Intermediate working knowledge using Microsoft Office Programs specifically Teams, Excel, PowerPoint, Outlook and Word
Exceptional communication & interpersonal skills
Decision making skills regarding own work approach/priorities, and work assignments, standards and resources
Ability to multi-task and work in a very fast-paced environment
Strong understanding and respect of all cultures and demographic diversity
Strong written communication skills and a strong advocate for members at all levels of care
This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program
Ability to travel to region-based facilities and homes for face-to-face assessments and interactions with members and/or families

Job Responsibility

Contribute to the administration of care management
Provide non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state
Guide members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members
Apply a hands-on approach to enrollee engagement to support case management functions, address health related social needs (HRSN) to improve self-management of chronic conditions, navigate the healthcare system, and promote prevention and health education
Leverage knowledge of the community and shared life experience to inform interactions with enrollees and Humana’s community partners
Work collaboratively with other Humana associates as a member of Humana’s Comprehensive Care Support team
Conduct in-person assessment(s) to understand member care needs, preferences, and socioeconomic barriers and evaluate the home environment
Assess member barriers to healthy living and accessing healthcare services and assist enrollees with scheduling physical health and behavioral health (BH) office visits, addressing barriers to appointment attendance
Act as a member advocate with providers, community resources, schools, and others, including accompanying members to provider office visits as requested
Assist member with navigating health care and social service systems and coordinate access to basic needs (e.g. housing, food, income, transportation)

What we offer

Medical, dental and vision benefits
401(k) retirement savings plan
Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
Short-term and long-term disability
Life insurance

Fulltime

Architectural Project Manager

At this level, the project manager will organize and lead projects which are mod...

Location

United States , Portland

Salary:

Not provided

SERA Architects

Expiration Date

Until further notice

Requirements

Requires a Bachelor or Master’s degree from an accredited program
Architectural License preferred
Generally have 8+ years of experience
Developing knowledge of accounting and project management software
Possesses knowledge of the OSSC/ADAAG and possesses the ability to achieve the intent of the code through variances and appeals
Possesses knowledge of drawing and production software (understanding of capabilities, requirements, and impact on project documentation strategy)
Advanced ability to communicate through verbal, written and graphic communication formats
Established knowledge of available tools
Established ability to prioritize and evaluate multiple important tasks
Established critical thinking to identify strengths, weaknesses or alternate solutions to a problem independently

Job Responsibility

Supervise, coordinate, plan, and review the work of entire project teams. This includes the mentoring of staff on project teams
Build internal teams with skills/interests suited to the needs of the project. Contribute to building external teams
Define the unique goals and objectives required by the client and project team and the decision-making strategies and success metrics used to validate them
Assist in preparation of contracts and negotiations
Prioritize goals, scope, and tasks to meet client needs and use teams effectively
Proactively communicate staffing needs and changes with staffing director/studio leaders
Develop, articulate, define and execute the project scope, fees, and proposals for a wide variety of projects
Negotiate consultant’s scope, schedule and fees
May lead, organize and execute selected marketing and business development opportunities
Proactively work with and support the accounting department regarding project financials including project set up and/or invoicing and collection efforts for projects

New

Community Health Advocate

A Medical Center is seeking a passionate and dedicated Community Health Advocate...

Location

United States , Northridge

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Public Health, or a related field
Minimum of one year of data entry experience
6 months of experience working with the public or with community groups
Excellent analytical, problem-solving, communication skills (both written and verbal)
Excellent organizational skills required
CA Driver License
Proof of Insurance

Job Responsibility

Proactively reach out to community members and their families to provide information and support
Conduct initial assessments and data collection to understand individual needs and connect them to community resources
Educate community members on COVID-19 and other health related issues through tabling events, presentations, and workshops
Build rapport and establish trusting relationships with community members and their families
Advocate for community members needs and rights, ensuring they receive timely and appropriate care
Connect community members with relevant resources, such as financial assistance programs, transportation services, health, mental health and social services
Oversee data collections, monitors data reports and troubleshoots data issues
Monitor data reports, identifying trends, anomalies, and potential issues using public health Outreach Tracker/System Navigator Tracker
Prepare regular data summaries and reports on outreach activities and community System Navigation Referrals for internal and external stakeholders
Regularly attend meetings with public health officials and other relevant parties, communicating data findings and addressing data entry concerns

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Community Experience Lead

About The Gathering Spot: The Gathering Spot is a premier private membership clu...

Location

United States , Los Angeles

Salary:

Not provided

The Gathering Spot

Expiration Date

Until further notice

Requirements

Prolonged periods standing and walking throughout facilities
Must be able to lift up to 15 pounds at times

Job Responsibility

Member Engagement & Relationship Building
Serve as the primary on-site presence for members, creating a warm, welcoming environment throughout the club
Build strong, ongoing relationships with members through regular in-person interaction, proactive outreach, and thoughtful check-ins via call and text
Become a trusted point of contact for member needs, questions, and requests
Monitor member engagement patterns to anticipate needs and strengthen retention
Community Experience & Events
Attend and support member events to ensure members feel connected, supported, and included
Welcome new members to the club, introduce them to community touchpoints, and help integrate them into the culture
Collaborate with programming and operations teams on experiences that elevate the onsite community atmosphere
Hospitality Leadership & Concierge Oversight

Fulltime

Community Experience Lead

We’re seeking an exceptionally warm, service-driven, and community-minded Commun...

Location

United States , Washington DC

Salary:

Not provided

The Gathering Spot

Expiration Date

Until further notice

Requirements

Prolonged periods standing and walking throughout facilities
Must be able to lift up to 15 pounds at times

Job Responsibility

Serve as the primary on-site presence for members, creating a warm, welcoming environment throughout the club
Build strong, ongoing relationships with members through regular in-person interaction, proactive outreach, and thoughtful check-ins via call and text
Become a trusted point of contact for member needs, questions, and requests
Monitor member engagement patterns to anticipate needs and strengthen retention
Attend and support member events to ensure members feel connected, supported, and included
Welcome new members to the club, introduce them to community touchpoints, and help integrate them into the culture
Collaborate with programming and operations teams on experiences that elevate the onsite community atmosphere
Lead the Concierge team in delivering exceptional front desk hospitality, ensuring consistent service standards and a cohesive member experience
Oversee daily front-of-house operations to maintain a streamlined, professional, and welcoming environment
Support team training, scheduling, and performance to uphold service excellence across all club touchpoints

Fulltime

Member Success Manager

The Member Success Manager (MSM) at Pavilion is responsible for owning the end-t...

Location

United States

Salary:

80000.00 - 90000.00 USD / Year

Pavilion

Expiration Date

Until further notice

Requirements

3+ years of experience in Customer or Member Success, Account Management, or Renewals at a subscription business
Proven experience owning renewals and retention outcomes
Strong communication skills and comfort engaging with an executive-level audience
Ability to balance high-touch relationships with operational discipline across a sizable book of business
Highly organized and comfortable operating in a fast-moving, startup environment where there isn’t always an existing playbook

Job Responsibility

Own the end-to-end member lifecycle from post-enrollment through renewal, ensuring members consistently experience and recognize the value of Pavilion
Monitor and manage member health and engagement signals, proactively identifying risk and opportunity across the member journey and developing appropriate interventions
Drive retention and renewals through value-based conversations
Act as a trusted partner and advisor to members, connecting them to relevant peers, programs, and experiences
Capture and synthesize member feedback to serve as an internal advocate for our members and inform improvements across onboarding, programming, and lifecycle experience
Contribute to developing scalable success practices and playbooks as Pavilion grows

What we offer

Supportive and kind environment that supports remote employees
Work within a supportive, nurturing environment that values kindness and collaborative effort
Ability to positively influence and impact the lives of our members throughout the globe by enabling professional and personal development
Join a mission-driven organization that prioritizes the professional growth of its members above all
Engage with some of the brightest minds in various industries and gain insights that can propel your own career forward
Enjoy the flexibility of remote work along with the opportunity to develop new skills and advance within the company

Fulltime

Social Work Consultant

Mental health is an essential component of total health. As mental health profes...

Location

United States , Duluth

Salary:

37.25 - 48.17 USD / Hour

Kaiser Permanente

Expiration Date

Until further notice

Requirements

Minimum two (2) years social work experience identifying and managing discharge and psychosocial needs of inpatients in an acute care or managed care setting within the last five (5) years
Masters degree in social work conferred by a program accredited by the Council of Social Work Education
Licensed Master Social Worker (Georgia) OR Associate Marriage and Family Therapist License (Georgia) OR Associate Professional Counselor License (Georgia) OR Licensed Clinical Social Worker (Georgia) required at hire
Demonstrated ability to perform on a multidisciplinary team
Must have strong psychosocial assessment skills
Knowledge of chronic and acute disease and how it impacts patient and family functioning
Demonstrated excellent oral/telephone communication skills and written documentation
Must be experienced in documenting in an electronic clinical information system
Must demonstrate ability to effectively and efficiently handle demanding workload involving multiple tasks
Demonstrated ability to function independently as a collaborative, supportive team member

Job Responsibility

Discharge Planning: The primary role is to facilitate the execution of approved and appropriate inpatient discharge plans between facilities or into the community
Delivers age-appropriate clinical social work insight and care to members and their caregivers
Serves as an integral member of the healthcare team ensuring coordination of discharge/transition planning
Provides referrals to internal resources within the Kaiser Permanente network and information to community resources
Responsible for overseeing or participating in individual discharge plans
Partners with multidisciplinary teams to identify needs and collaborate and execute individual discharge plans
Discuss options for care proactively including Kaiser resources and external community/government resources
Collaborates with other disciplines in assessing, planning, and providing services for patients utilizing biopsychosocial information
Coaches member pre-discharge in advocating for self to receive appropriate services
Ensures member and caregiver(s) are updated with approved discharge plans

What we offer

Medical, Vision & Dental
Professional Development
Retirement Plans
Vacation, Holiday & Sick Leave
Supportive Teams & Resources

Parttime

Member Advocate

Arlo

Location:
United States , New York City

Category:
Customer Service

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 18, 2026

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