Member Advocate definition
Examples of Member Advocate in a sentence
The Member Advocate shall be responsible for development and oversight of the Member Advisory Committee.
The Member Advocate shall be responsible for development and oversight of the Member Advisory Committee required in Section 4.7.1. This individual shall also be responsible for the Contractor’s compliance with federal and state civil rights laws, regulations, rules and policies, including but not limited to, Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Americans with Disabilities Act (ADA) and the Age Discrimination Act.
The MHT Member Advocate must collaborate with the Care Management Director and care coordinators, provide member support related to enrollment, access and continuity of care issues, support members throughout any grievances or appeals activities, assist members in obtaining materials in alternative formats and interact with members in a culturally sensitive manner.
The MHT Member Advocate is responsible for interacting with the member population, and ensures members are referred to and connected to appropriate resources.
The MHT Member Advocate must have at least five (5) years’ experience in healthcare, working with low-income populations, a bachelor’s degree or higher and be based in West Virginia.
The Transition Coordination staff shall include healthcare professionals working with the Member Advocate Coordinator and other member-focused departments of the plan to ensure continuity and coordination of care and member and provider communication through the initial transition, ongoing benefit plan, and MCE transfers.
Please call [HMO NAME’S] Member Advocate at [1-800-xxx-xxxx] if you have a complaint.
Chief Financial Officer (CFO)* Mountain Health Trust (MHT) Member Advocate Contract Liaison/Mountain Health Trust (MHT) Administrator Health Equity Director *The CEO/COO and CFO or West Virginia MHT Vice President/Senior Vice President positions are not required to be Medicaid-only positions.
You can also always ask your Member Advocate from Cofertility for help at any point throughout the process.
You should contact your Member Advocate for help with any questions about getting health care and solving any problems you may have getting health care from [HMO Name].