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Join Our Mission: Be a BlueCare ECF CHOICES Member Advocate!

The BlueCare Community Engagement team is looking for a passionate individual with strong communication skills, solid working experience within the disability community, and exceptional problem-solving skills to fill the role of ECF CHOICES Consumer Advocate for West Tennessee. The ECF CHOICES program is designed to help individuals with intellectual and developmental disabilities live and work in their communities, offering critical services and supports that promote independence, inclusion, and a high quality of life.

As a Consumer Advocate, you’ll collaborate with clinical teams, providers, members & families, and community organizations to deliver member-centered support, while also working to resolve complex matters and streamline efforts to improve service delivery. The ideal candidate will:

• Build strong, empathetic relationships with members and their families, understanding their unique needs and goals.
• Guide members through their ECF CHOICES benefits, helping them access essential services like employment supports, community integration, and in-home care.
• Advocate on behalf of members through the facilitation of regular advisory group meetings, ensuring their preferences are heard, and their rights are protected.
• Collaborate with internal and external customers to address barriers and find creative solutions.
• Drive positive outcomes through process improvement and high-quality work.
• Take initiative in making community connections and planning successful events.

Note: Experience and working knowledge of the ECF CHOICES program is highly preferred.

If you thrive on empowering individuals and ensuring they receive the support they need to live independently and with dignity, excel in a close team-oriented environment, and have a resourceful and proactive approach to advocacy and problem-solving, we’d love to hear from you.

Job Responsibilities

• Utilizes expertise to assist in resolution of member associated concerns regarding the safety and well-being of the member.
• Serves as ex officio member of the Advisory Group, responsible for coordinating, oversee order fulfillment, taking meeting minutes and documenting action items for follow-up and facilitating the Quarterly Advisory Group meetings, community forums and makes recommendations regarding potential changes to the Program
• Spearheads and coordinates quality initiatives and comprehensive prevention outreach programs; ensures successful completion of assigned projects and monitoring the processes to ensure compliance with quality level and regulations and to reduce the business or fraud risk exposed to company.
• Serves as the internal representation of these members interests, including, but not limited to, input into planning and delivery of services for members receiving either Behavioral Health Services or long term services and supports and/or individuals with intellectual and developmental disabilities, program monitoring and evaluation, and member, family, and provider education; Serves as an Advocate in assisting members or member representatives with navigating through program processes.
• Ability to travel with short notice which may include overnight stays

Job Qualifications

Education

• Bachelors degree in social work, nursing, education or other human service (e.g. psychology, sociology) or health care profession or related field; or equivalent work experience required.

Experience

• 3 years - Experience in Medicare/Medicare SNP or Medicaid/Medicaid SNP programs required; depending on the department.

SkillsCertifications

• Knowledge of educational programs, including research projects, extra-curricular activities, and academic planning; ability to manage these programs.
• Ability to conceive and deliver innovative solutions
• Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
• Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
• Proven ability to research independently and make sound decisions is required
• Must be a team player, be organized and have the ability to handle multiple projects
• Excellent oral and written communication skills
• Strong interpersonal and organizational skills
• Strong analytical skills

License

• Valid Driver's License

Number of Openings Available:

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Applying for this job indicates your acknowledgement and understanding of the following statements:

BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:

BCBST's EEO Policies/Notices

BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

Tobacco-Free Hiring Statement

To further our mission of peace of mind through better health, effective 2017, BlueCross BlueShield of Tennessee and its subsidiaries no longer hire individuals who use tobacco or nicotine products (including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, gum, patch, lozenges and electronic or smokeless cigarettes) in any form in Tennessee and where state law permits. A tobacco or nicotine free hiring practice is part of an effort to combat serious diseases, as well as to promote health and wellness for our employees and our community. All offers of employment will be contingent upon passing a background check which includes an illegal drug and tobacco/nicotine test.  An individual whose post offer screening result is positive for illegal drugs or tobacco/nicotine  and/or whose background check is verified to be unsatisfactory, will be disqualified from employment, the job offer will be withdrawn, and they may be disqualified from applying for employment for six (6) months from the date of the post offer screening results.

Resources to help individuals discontinue the use of tobacco/nicotine products include smokefree.gov or 1-800-QUIT-NOW.