Personal Health Advocate

Why is Health Advocate a great place to work? For starters, Health Advocate employees enjoy helping people every single day. Employees are given the training they need to do their jobs well, and they work with supervisors and staff who are supportive and friendly. Employees have room to grow, and many of Health Advocate's supervisors are promoted from within the company. Join our award winning team!

2025:

Stevie® Awards for Sales & Customer Service: Customer Service Department of the Year – Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner

2024:

Excellence in Customer Service Awards: Organization of the Year (Small)

Stevie® Awards for Sales & Customer Service: Customer Service Department of the Year – Healthcare, Pharmaceuticals, and Related Industries, Bronze Winner

Best in Biz Awards: Most Customer-Friendly Company of the Year – Medium and large category (Silver)

As part of Teleperformance in the US, we were also named #95 in the 2024 ‘Fortune 100 Best Companies to Work For®’ in the USA by Great Places to Work (GPTW®)

**EVENING SHIFTS**

Your Mission: What Success Looks Like

Your primary accountability and Personal Health Advocate, Registered Nurse is to deliver high-quality, member-centered clinical advocacy while meeting service, quality, and case management standards.

Success in this role includes consistently achieving:

🔹 Member Advocacy & Clinical Guidance

Receive inbound member calls related to a wide range of healthcare issues (e.g., infertility, chronic disease, medications, diagnoses)

Assess needs and determine the best course of action while adhering to established policies, procedures, and performance indicators (KPIs)

Take ownership of member cases by going beyond the initial request and encouraging continued engagement

🔹 Education, Trust & Relationship-Building

Educate members on their medical conditions, diagnostic testing, test results, and available treatment options

Explain complex medical and benefit-related information clearly and compassionately

Build trusted relationships that empower members to actively participate in their healthcare decisions

🔹 Care Coordination & System Navigation

Provide members with options for healthcare providers and services based on clinical needs, geographic location, and benefit coverage

Research providers through credentialing, education verification, and affiliations with recognized medical centers

Facilitate communication between members, treating physicians, and insurance carriers

Assist with scheduling and re-scheduling appointments, transferring medical records, resolving access issues, and clarifying benefit provisions

Intercede on behalf of members to obtain earlier appointments or remove barriers to care

Support members with prescriptions, pre-service fee negotiations, and authorization-related challenges

🔹 Case Management, Documentation & Follow-Up

Maintain accurate, timely documentation using approved case management systems and procedures

Place outbound follow-up calls when issues cannot be resolved during the initial interaction

Respond to delegate box, answer service, and after-hours calls as required

Escalate cases appropriately and on a timely basis to supervisors or internal clinical resources

🔹 Professional Growth & Team Contribution

Stay current on patient care procedures, diagnoses, authorizations, denials, and evolving healthcare practices

Mentor and support new team members as needed

Collaborate with colleagues to maintain service excellence and balanced workflows

Who You Are: The Leader We’re Looking For

You are an experienced nurse who brings clinical judgment, composure, and accountability to every interaction.

You naturally demonstrate:

• •Ownership and follow-through
• You take responsibility for member outcomes and see cases through with care and precision.

• •Empathy grounded in professionalism
• You listen deeply and respond with compassion while maintaining clarity, confidence, and appropriate boundaries.

• •Strong critical thinking
• You quickly synthesize clinical information, prioritize what matters, and determine effective next steps.

• •Clear and confident communication
• You explain complex medical and insurance concepts in a way members can understand and trust.

• •A commitment to quality and results
• You are motivated by accuracy, meaningful resolution, and delivering an exceptional member experience.

• •Curiosity and continuous learning
• You stay current on healthcare trends, systems, and procedures to provide thoughtful, informed guidance.

Who Will Thrive in This Role

You will thrive in this role if you are comfortable balancing compassionate member conversations with a fast-paced, high-volume phone environment. This is a strong fit for someone who can stay organized, document thoroughly and in real time, follow cases through to resolution, and maintain a calm, professional presence while managing multiple member needs throughout the day.

Minimum Qualifications

Education

BSN or RN degree from an accredited college or university (required)

Licensure

Active and unrestricted State or Multi-State Registered Nurse license (required)

Experience

Minimum 3–5 years of clinical and/or medical management experience

Behavioral and/or mental health experience is strongly preferred, especially experience supporting members through sensitive, complex, or emotionally charged healthcare situations.

Core Skills

Strong understanding of medical terminology and healthcare systems

Excellent verbal communication skills and professional phone presence

Ability to explain complex healthcare topics to diverse populations

Highly effective listening, problem-solving, and issue-resolution skills

Strong organizational and administrative abilities

Proficiency with Microsoft Word and Excel

Ability to work effectively in a collaborative, remote team environment

Team Interface & Customer Service

Establish and maintain professional relationships with internal and external customers

Collaborate with team members to meet departmental goals

Deliver customer service that consistently exceeds expectations

Treat all individuals with dignity, respect, and professionalism

Escalate workflow or communication issues to leadership as appropriate

PLEASE NOTE: This role offers $37 per hour and is for evening hours :

12-8:30 pm EST.

12:30-9 pm EST.

1-9:30 pm EST.

Mental and Physical Requirements

This position is fully remote and requires a dedicated, HIPAA-compliant workspace with reliable internet access.

The nature of the work is sedentary, involving prolonged sitting and continuous computer and phone use. Essential functions include repetitive motion, typing, concentration, reading, and ongoing verbal and written communication throughout the workday.

Related Duties as Assigned

This job description describes the general nature and level of work performed and is not intended to be a comprehensive list of all activities, duties, or responsibilities.

Job incumbents may be asked to perform other duties as required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions outlined above.

Please contact your local Employee Relations representative to request a review of accommodations.

Why Health Advocate?

Because here, nursing expertise drives impact.

You’ll join an organization that values structure, autonomy, accountability, and compassion — where your clinical judgment directly improves the lives of the members you serve.

Company Overview

Health Advocate is the nation’s leading provider of health advocacy, navigation, well-being and integrated benefits programs. For 20 years, Health Advocate has provided expert support to help our members navigate the complexities of healthcare and achieve the best possible health and well-being. Our solutions leverage a u