Care Advocate Nurse

About the role

The Care Advocate role integrates empathetic engagement, brief clinical assessment within scope of practice, education, proactive care coordination, and consistent communication with OB, pediatrics, primary care, behavioral health, and community partners. This role is for individuals with nursing backgrounds (RN or LPN), who will address routine medical questions, reinforce clinical care plans, and escalate behavioral health or psychosocial concerns to behavioral health partners.

Responsibilities

• Review automated screening results and relevant EHR information daily.
• Conduct brief clinical assessments (within licensure/scope) related to symptoms, medical follow-up, postpartum concerns, and risk monitoring.
• Provide education on prenatal/postpartum self-management, warning signs, chronic disease management (e.g., hypertension), newborn care basics, lactation, and medication adherence as appropriate.
• Reinforce provider treatment plans, ensure follow-up appointments, and coordinate communication across OB, pediatrics, primary care, behavioral health, and specialty services.
• Triage nonemergent medical issues; escalate behavioral health/SUD/social risk issues to MSW/LPC partners and escalate emergencies per SOPs.
• Complete warm handoffs; schedule internal/external appointments; ensure appropriate consent and information exchange.
• Confirm engagement with referrals; troubleshoot barriers; re-engage as needed.
• Document assessments, education, plan updates, and follow-ups in the program platform and per EHR standards.
• Communicate promptly with clinical teams about medical concerns, risk changes, or updates using closed-loop communication.
• Maintain accurate logs and dashboards for fidelity and monitoring.
• Contribute to building and updating the site resource library; tailor resource lists to geography and patient preferences.
• Collaborate with community partners, and behavioral health partners to support whole-person care.
• Participate in onboarding, clinical refresher trainings, supervision/case consults, and learning collaborative activities.
• Use embedded reports to monitor timeliness, follow-up completion, and referral success; contribute to continuous quality improvement.
• Support data quality activities and periodic evaluation.

Qualifications

• Minimum Active RN or LPN license
• ≥2 years of experience in obstetrics, maternal/newborn care, family medicine, or pediatrics
• Experience in care coordination, triage nursing, patient education, or case management
• Familiarity with trauma-informed care, health equity principles, and working with diverse populations
• Proficiency with technology-enabled communication (texting platforms, telehealth) and accurate documentation
• Preferred: Experience in community health, mental health, lactation support, perinatal safety, or chronic disease management; Knowledge of SDoH and community resource networks; Bilingual (English/Spanish) skills preferred

Skills

• Empathy and cultural humility
• Strong clinical assessment and patient education skills
• Strong organizational and communication skills
• Comfort discussing sensitive topics which may include mental health, substance use, intimate partner violence, social determinants of health, discrimination and disrespectful care
• Collaborative spirit and adaptability
• Commitment to advancing equity and respectful care
• Collaborates and communicates with continuum care partners
• Participates in physician/office, staff, employer orientation/update seminars

Benefits

The position is eligible for benefits including:

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Education Assistance Program

Pay

$30.70 - $46.05

Schedule

1st shift