Activities Director

TruHealth•Ashland, KY

3d•Hybrid

About The Position

American Health Plans owns and manages institutional special needs plans (I-SNPs) for seniors who reside in long-term care facilities. Our plans are specifically designed to help nursing home operators enhance patient care and manage financial risk. The Member Advocate is a customer-service-focused position that supports local service areas. This position requires reasonable work-from-home space, as no formal office space or work location is provided. However, Member Advocates will conduct their work at partner nursing homes within a specific work region.

Requirements

Exceptional interpersonal skills with demonstrated ability to work independently as well as with a team; must be a good listener to understand feedback from the family
Ability to work well with staff at each of the nursing homes in the assigned region to include nursing staff, doctors, and administration staff
Ability to deliver outstanding customer service with a proven track record
Exceptional organizational skills
Willingness and ability to travel to facilities within assigned region
Have suitable home workspace allowing for productive office environment
Compliant with CMS regulations regarding Medicare Advantage Plans
Successfully complete required training
Handle multiple priorities effectively
Independent discretion
Reliable transportation
Possess clean driving record and current automobile insurance according to company policy
Maintain regular and reliable attendance
Successfully complete required training
Handle multiple priorities effectively
Various operating systems
Standard office equipment
Microsoft Suite applications

Nice To Haves

Associate’s degree preferred
Experience in a healthcare delivery setting with elderly patients as either a clinician, social worker or caregiver preferred
Associate’s degree preferred
State driver’s license

Responsibilities

Welcome all new members in accordance with established Plan processes
Visit or contact assigned members at least monthly
Develop and maintain relationships with key network providers, nursing home staff, and facilities within assigned region
Annually sponsor or assist a minimum of one group activity at each regional nursing facilities
Contact TruHealth staff or appointees at least monthly, but more often as appropriate, to discuss and ensure the needs of the Member and Plan are met; coordinate facility visits within the team to ensure necessary coverage for the facility
Document all activities as required
Follow up on any item(s) members are dissatisfied with and report to Plan accordingly
Ensure all interactions with the members are compliant with CMS regulations
Attend meetings as necessary
Other responsibilities as assigned