Patient Continuity and Needs Advocate: Bilingual - Spanish preferred

**Job Description** ------------------- **We’re unique. You should be, too.** We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team. The Patient Continuity and Needs Advocate (PCNA) serves as a vital bridge between patients and comprehensive care, ensuring every eligible patient receives the right healthcare plan and support services tailored to their unique needs. Directly supports ChenMed’s core goal of transforming senior care by maintaining strong patient relationships, reducing healthcare disruptions, and ensuring our most vulnerable patients receive consistent, comprehensive primary care and other services they may be entitled to. The PCNA role is critical to building trust within our communities and maximizing the impact of our patient\-centered care model. ESSENTIAL JOB DUTIES/RESPONSIBILITIES: * **Patient Advocacy \& Connection**: Evaluates patient needs and connects eligible individuals with health plans and community resources that suit their unique healthcare needs and enhances their care experience and outcomes. * **Retention \& Re****\-engagement**: Proactively reaches out to disenrolled members to understand barriers to care and facilitates their return to our medical centers through personalized outreach and support. * **Collaborative Partnership**: Works closely with center leadership, sales teams, brokers and clinical staff to develop and execute targeted patient retention strategies that strengthen our patient\-provider relationships. * **Care Continuity**: Ensures seamless transitions and sustained engagement to prevent gaps in care that could lead to hospital visits or adverse health outcomes. * **Documentation**: utilizes an Electronic Medical Records (EMR)