Healthcare Advisor VA

A healthcare advisor, usually a nurse or allied health professional, who guides your patients or members through their care: explaining options, benefits and next steps, coaching on chronic conditions and connecting them to the right services. People get clear answers and your clinicians get fewer avoidable calls.

Description

A Healthcare Advisor VA helps patients or members understand their care options, benefits and next steps while providing protocol-based health coaching and navigation support. They can help people find appropriate services, follow up after discharge and explain administrative healthcare processes in plain language. Outsource Teams provides top 1% vetted talent with nursing or allied health backgrounds, no lock-in contracts and a replacement guarantee, with clinical questions outside protocol escalated appropriately.

Responsibilities

  • Take inbound and scheduled calls from patients or members and explain their care options, referral pathways and coverage in plain language.
  • Deliver protocol-based health coaching for chronic conditions such as diabetes, hypertension and asthma, and record progress against agreed goals.
  • Help people navigate the health system, from finding in-network providers and booking appointments to preparing questions for their doctor.
  • Assess needs against the client's care navigation protocols and refer to nurse lines, case management, mental health or social services as appropriate.
  • Follow up after hospital discharges and procedures to check understanding of instructions and medication changes.
  • Explain benefits, prior authorisation steps and cost-sharing so people know what to expect, without giving clinical advice outside protocol.
  • Document every interaction in the client's CRM or care management platform and complete follow-up tasks on time.
  • Identify gaps in materials and scripts and propose improvements based on recurring questions.
  • Escalate clinical red flags to the supervising clinician immediately using the agreed pathway.
  • Maintain HIPAA and patient-privacy compliance in every interaction.

Software & Tools

Salesforce Health Cloud Zendesk Epic Microsoft 365 Zoom

Requirements

  • Nursing, pharmacy, nutrition or allied health degree with at least 5 years of patient-facing experience, including 2 or more years in telehealth, care navigation, health coaching or member services.
  • Health coaching or care management certification, for example NBHWC, CCM or a chronic disease self-management programme, is a plus.
  • Comfortable with care management and CRM platforms such as Salesforce Health Cloud, Epic Healthy Planet, Innovaccer or similar.
  • Understands US or Australian health system basics, including plan types, referrals and prior authorisation, or can learn them quickly.
  • Excellent, empathetic spoken English and clear written summaries, with the skill to explain clinical concepts without jargon.
  • Works strictly within protocol and knows when a question belongs to a licensed clinician in the client's jurisdiction.
  • HIPAA training completed.
  • Reliable high-speed internet, backup power and a private workspace, working the client's business hours.

Frequently Asked Questions

What can they help patients understand?

They can explain care pathways, referrals, benefits, cost-sharing and next steps using plain language.

Can they provide health coaching?

Yes. They can deliver protocol-based coaching for conditions such as diabetes, hypertension and asthma and track progress against agreed goals.

What systems can they use?

They can work with Salesforce Health Cloud, Zendesk, Epic, Microsoft 365 and Zoom.

How experienced are the candidates?

Candidates are expected to hold a relevant health degree and have at least five years of patient-facing experience.

How much does it cost?

Rates are listed in USD at $7 per hour for entry-level talent, $9 per hour for intermediate and $12 per hour for senior talent. Both full-time and part-time options are available.

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