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Salary: USD 24 - 28 / hourly
Habitat Health is a healthcare organization delivering comprehensive care to older adults through the Program of All-Inclusive Care for the Elderly (PACE). The company provides integrated clinical and social services, including medical care, meals, transportation, and in-home assistance, operating centers and home-based care across multiple locations.
The New Participant Advocate plays a key role in creating a welcoming, participant-centered onboarding experience for individuals transitioning into Habitat Health's PACE program. This role builds trusted relationships with participants and caregivers while partnering with the Interdisciplinary Team (IDT) and cross-functional teams to facilitate seamless transitions into care.
Core responsibilities include:
- Building trusted relationships with new participants and caregivers to understand individual goals, preferences, and support needs while fostering a welcoming onboarding experience
- Serving as the primary point of contact during initial transition into the PACE program and facilitating introduction to Habitat Health's services
- Partnering with the Interdisciplinary Team, caregivers, Referral Coordinator, and cross-functional teams to coordinate services and support continuity of care
- Advocating for participant preferences, cultural needs, and person-centered care by identifying barriers and collaborating with the care team on solutions
- Providing education and guidance to participants and caregivers regarding services, program expectations, available resources, and ongoing support
- Coordinating participant appointments, transportation, follow-up services, and onboarding activities
- Maintaining proactive communication with participants, caregivers, and care team members to address questions and resolve concerns
- Documenting participant interactions, onboarding activities, identified needs, and follow-up actions in the Electronic Medical Record (EMR) and organizational systems
- Contributing to continuous improvement by identifying participant trends, feedback, and opportunities to enhance onboarding processes and interdisciplinary collaboration
- Performing other related duties as assigned
The role involves in-person work in Sacramento with travel throughout the service area. Physical demands include standing, walking, sitting for extended periods, and may involve bending, reaching, lifting, or assisting participants.
REQUIREMENTS:
- Minimum one (1) year of experience working with older adults, frail elderly populations, participant advocacy, care coordination, case management, client services, or similar participant-facing role
- Demonstrated ability to build trusted relationships while delivering compassionate, participant-centered support to diverse populations
- Demonstrated ability to coordinate services, navigate complex participant needs, and support successful care transitions through effective collaboration
- Strong communication and collaboration skills with ability to effectively engage participants, caregivers, community partners, and cross-functional teams
- Strong organizational skills with ability to manage multiple priorities while maintaining attention to detail and ensuring timely follow-through
- Demonstrated ability to work independently while collaborating across interdisciplinary teams to achieve shared outcomes
- Self-starter determined to unlock pathways
- Experience using Electronic Medical Records (EMRs), Microsoft Office, and ability to quickly learn organizational documentation and participant management systems
- Demonstrated ability to exercise sound judgment, solve problems proactively, and navigate sensitive participant situations with professionalism, empathy, and discretion
- Valid driver's license, reliable personal transportation, and automobile insurance meeting applicable state requirements, with ability to travel throughout service area
- Meets all applicable participant-facing health requirements, including TB screening and required immunizations
- Alignment with company purpose and values
- Ability to thrive in fast-paced, evolving environment with comfort navigating ambiguity, adapting quickly, and contributing to continuous improvement
