Medicaid Member Advocate

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Medicaid Member Advocate is a key position in the MHP ( Mental Health Professional ) Promise Agreement, which is a specialized managed care program in West Virginia designed for children in foster care, kinship care, and adoptive care, aligned with Aetna Better Health of West Virginia as its single managed care organization. Job duties include: Responsible for interacting with the population and ensuring that our members are referred and connected to appropriate resources. Collaborating with Care Management Director, Mountain Health Promise care coordinators, System of Care Administrators, and the SNS ( Socially Necessary Services ) Liaison. Providing member support related to enrollment, access, and continuity of care issues. Supporting members throughout any grievances of appeal activities. Assisting members in obtaining materials in alternative formats, as applicable. Supporting and addressing needs of children and youth in foster care with educational needs by collaborating with transition specialists, care managers, and others that provide a supportive transition. Serving as an advocate for members by creating a bridge between them and community programs or resources. Supporting our youth's socio-psychological needs (such as security, love, approval, independence and/or achievement), specifically through individual support systems or goals, in an effort to help youth achieve support and independence. Supporting the transitional-aged youth with ensuring socio-psychological needs are met appropriately. Ensur...