Patient Care Advocate II (PCA II)

Wellbe Senior Medical•Chicago, IL

6d•Onsite

About The Position

The Patient Care Advocate II (LPN/LVN) is a licensed, field-based member of WellBe’s interdisciplinary geriatric care team. The role delivers high-quality in-home care to frail, poly-chronic, elderly Medicare Advantage patients and combines patient advocacy, care coordination, quality (HEDIS) responsibilities, clinical support, and telehealth visit facilitation. Practicing within the LPN/LVN scope and at the direction of the assigned Provider, the advocate conducts in-person visits, facilitates telehealth consultations with an APP or Physician, captures and documents clinical data, supports patient education, and connects patients with support services across the WellBe platform. The role works closely with provider and social-work teams, has no direct reports, and follows applicable state and federal regulations and certifying-body requirements. Daily local travel to meet patients and engage the community is essential. The Patient Care Advocate II facilitates initial, follow-up, and urgent in-home telehealth visits; records vital signs and observed or reported health changes; conducts home-safety inspections; provides care support and education at the direction of the assigned Provider; performs minimally invasive screenings and point-of-care testing; and, where permitted by law and company protocols, performs blood collection and intravenous therapy. The role also supports patient engagement, appointment scheduling, care transitions, palliative-care needs, medication adherence, HEDIS/STAR quality performance, and accurate daily EMR documentation. The advocate collaborates with the interdisciplinary team, participates in team and IDT meetings, builds relationships with local providers and caregivers, and maintains required licensure and certifications. This is a field-based position involving daily local travel, potentially up to 100%, to patient homes and other care settings such as hospitals, skilled nursing facilities, and assisted-living facilities. It is safety-sensitive and requires employees to perform duties in a way that ensures the safety of themselves, coworkers, patients, and the public. Drug and alcohol testing applies in accordance with applicable laws and company policy; marijuana use is prohibited as described in the posting. WellBe does not provide employment-based visa sponsorship.

Requirements

High-school diploma or GED.
Active, unrestricted LPN/LVN license in the state of service, with residency in that state.
At least two years of experience as an LPN/LVN in a direct, patient-facing care-delivery role.
Current BLS/CPR certification for healthcare providers, or willingness to obtain it.
Ability to perform high-quality venipuncture and capillary draws on geriatric patients in home settings where required by the market and consistent with state law.
Valid driver’s license with an acceptable driving record and proof of active auto insurance.
Strong communication skills for interacting effectively with patients, families, and remote healthcare professionals.
Ability to work independently and make sound decisions while following protocols, guidelines, and the LPN/LVN scope of practice.
Strong organizational and time-management skills to balance visits, telehealth facilitation, and administrative tasks.
Familiarity with EMR systems and computer skills, including Word, Excel, and PowerPoint.
Understanding of risk assessment, quality measures, and full-risk/value-based care.
Professionalism and a strong geriatric customer-service focus.
Ability to work with culturally diverse and underserved populations.
Ability to stand or sit for extended periods; visual acuity and fine motor skills; and ability to travel to patient homes and facilities as needed.
Ability to perform safety-sensitive duties with full cognitive and physical functioning.

Nice To Haves

Prior telehealth experience preferred.
Previous experience in home care, hospice, palliative care, or geriatrics strongly preferred; other complex patient-health-care experience is beneficial.

Responsibilities

Facilitate in-home telehealth visits between patients and WellBe APPs or Physicians, including initial assessments, urgent visits, and follow-ups.
Check and record patient vitals, including weight, blood pressure, heart rate, lung sounds, and blood-sugar levels, and document observed or reported health changes.
Complete and document thorough home-safety inspections during patient visits.
Provide direct patient-care support and education at the direction of the assigned Provider and within the LPN/LVN scope of practice.
Complete minimally invasive screenings and point-of-care testing, and explain testing to geriatric patients.
Where permitted by applicable law and consistent with training and company protocols, perform venipuncture, capillary blood collection, and intravenous therapy.
Support Comprehensive Initial Visits, Follow-up Visits, and Urgent Visits.
Conduct drop-in visits for unengaged or disengaged patients and support open HEDIS needs.
Conduct check-in visits or calls with lower-acuity patients to reinforce the “call us first” model.
Escalate clinical concerns to the APP, Community Operations Director, or Community Medical Director.
Build rapport and provide compassionate in-home service, positive customer service, and respectful interactions with patients and staff.
Serve as a community resource and engage patients who are not currently engaged in care.
Schedule appointments with the WellBe team and coordinate specialist appointments and diagnostic tests.
Answer clinical questions within the boundaries of the SOP and explain WellBe processes and the care journey.
Review patient-care interventions and assess needs related to transitions of care, end-of-life discussions, palliative-care interventions, and medication adherence.
Support the APP’s panel management and quality-of-care efforts; use HEDIS tracking tools to improve HEDIS/STAR performance and close gaps, including medication-adherence gaps.
Enter complete, accurate, and timely clinical and non-clinical information in the EMR and submit all documentation daily.
Collaborate with the interdisciplinary team and participate in scheduled team and IDT meetings, sharing information about patient and family interactions.
Build relationships with local community providers and caregivers to maintain WellBe’s presence and reputation in local markets.
Attend required training, including equipment and device training, and complete ongoing education as skills and protocols are added.
Operate and drive a vehicle safely and professionally while conducting company business.
Maintain required licensure and certifications and provide current copies, including a driver’s license for the annual MVR pull, before expiration.
Perform other tasks needed to accomplish the team’s objectives and goals.