Healthcare Advocate Jobs
Healthcare Advocate jobs are open across health insurance, hospital systems, managed care, and nonprofit sectors, from entry-level to senior and director roles, with specializations in patient rights, benefits navigation, and case management. Find a role that fits below and apply directly.
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Job Overview
At Kokua Services, we believe every person deserves to be heard, especially when it comes to their health. The adults we support live in their own homes across Thurston County, and many face real barriers to getting the care they need. Medical systems can be confusing and rushed. Appointments can feel overwhelming, and our clients’ voices aren’t always heard.
That’s where you come in. As our Client Healthcare Advocate, you’ll be the nurse in their corner. You’ll make sure their concerns reach their doctors, help them understand their options, and connect them with the services, equipment, and resources they need to stay healthy at home. You’ll respect their right to make their own health decisions. You’ll be a steady, familiar presence for clients who are counting on someone to stand beside them, and you’ll join a team that values kindness, respect, and working together. If you’re looking for nursing where your advocacy truly changes lives, we’d love to welcome you to Kokua.
Client Healthcare Advocate (CHA) – Registered Nurse
Reports to
Executive Director
Credential
Registered Nurse (RN), current Washington State license
Status
Full-time, hourly (40 hours per week)
Wage per hour
$45
Schedule
Monday – Friday, business hours, with occasional flexibility as needed
Work setting
About 60% field work (including client charting) and 40% administrative work in the Kokua office
POSITION SUMMARY
The Client Healthcare Advocate (CHA) is a client-focused nursing position. The CHA supports the health of the clients Kokua serves through health assessments, hands-on nursing care, health protocols, care coordination, and advocacy with medical providers. Working alongside Kokua’s Registered Nurse Delegator (RND), who oversees delegation, the CHA collaborates with clients, guardians, direct care staff, Health Coordinators, and Kokua’s Service Coordination Team.
QUALITIES
The RNs who excel in this position keep the client at the center of their work and see themselves as one member of Kokua’s care team, where everyone works together to improve services for clients. They respect, value, and learn from direct care staff, admin staff, and the health team, knowing that each brings knowledge and experience that good client care depends on. They are self-directed, organized, and able to prioritize work and meet deadlines with little supervision. They communicate clearly in person and in writing, and they respect each client’s right to make their own health decisions.
ESSENTIAL JOB FUNCTIONS
Essential functions are the fundamental duties of this position. An employee in this position must be able to perform each of them, with or without reasonable accommodation. Kokua will consider reasonable accommodation requests through an interactive process.
Client Advocacy and Support
- Client advocacy: Advocate for clients with medical providers, hospitals, care facilities, and Kokua’s care team so that each client’s health needs, preferences, and rights are understood and respected.
- Client assistance: Assist clients directly with their health needs, and help them understand their health conditions, care, and options.
- Client education and choice: Educate and empower clients to actively take part in decisions about their health, encourage their involvement in their own care, and recognize their right to refuse services, advice, and medical treatment.
Client Health Assessment and Hands-On Care
- Vital checks: Perform vital checks weekly, or as needed, for clients with nursing hours, and document each assessment.
- Head-to-toe checks: Complete routine head-to-toe checks on a regular basis, and document each assessment.
- Skin checks: Perform regular, in-person, 1:1 skin checks for clients with nursing hours. Document each assessment, follow up on redness, pressure areas, bruising, or skin breakdown, and notify the prescriber and Kokua’s care team as appropriate.
- Bowel protocol: Draft and update each client’s bowel protocol per the prescriber’s instructions. Each protocol requires the doctor’s signature, along with any other required signatures, before it is filed. Review bowel tracking records, follow up when the protocol calls for action, notify the prescriber as needed, and make sure staff are trained on each protocol.
- Catheter and wound care: Provide hands-on catheter care and wound care per the prescriber’s orders, document the care provided, and report changes in condition to the prescriber and Kokua’s care team.
- Toenail trimming: Provide routine toenail trimming for clients as needed, and document the care provided.
- Other health protocols: Draft and update swallowing, seizure, and other required protocols per the prescriber’s instructions. Each protocol requires the doctor’s signature, along with any other required signatures, before it is filed.
- GER review: Read GERs for critical issues that require prompt follow-up, such as bruises, client injuries, narcotic count discrepancies, and unwell clients.
- Labs and diagnostics: Review diagnostic imaging studies and lab values, and notify the primary physician as appropriate for abnormal findings.
Medications and Orders
- RND collaboration: Work closely with Kokua’s Registered Nurse Delegator (RND), and keep the RND updated on all pertinent health and safety issues and medical concerns, including delegation, medication concerns, and changes in client condition.
- Delegation: Support Kokua’s delegation process by referring all delegation questions and concerns from direct care staff to the RND, who oversees delegation and provides direction on delegated tasks.
- Orders: Oversee new and active orders from the client’s physician and ensure their accuracy, including any verbal orders the physician has authorized.
- Medication reconciliation: Assist with medication reconciliation.
- Narcotic inquiries: Conduct an inquiry each time a narcotic count is off, and track and report all narcotic inquiries to the Executive Director and HR.
- Medication coverage: Be available during critical staffing or delegation shortages to administer medications.
Care Coordination
- Medical appointments: Attend client medical appointments as requested or appropriate, and work with medical staff to review and offer suggestions on follow-up care plans.
- Hospital admissions: Communicate with hospital case managers and doctors throughout a client’s admission and send updates to Kokua’s care team. Coordinate with Health Coordinators so all needed equipment, medications, and follow-up services are in place at discharge. Complete at least one head-to-toe skin check in the hospital before discharge, as the hospital allows, to confirm the client’s condition and that they are stable and predictable for discharge. Assessments may be more frequent depending on the client’s length of stay. Document all assessments and share them with the Service Coordination Team and RND.
- Transitions and new clients: Attend care facility discharge and transition meetings, and work with the Service Coordination Team to assess the suitability of potential new clients for Kokua.
- Referral review: Be available as needed to review referral packets for potential new clients and provide feedback on the level of medical care and any staff training needed to support each client.
- Health plans: Work with teams on the health sections of the IISP, PCSP, or other health plans for clients with nursing hours.
- Medical supplies: Work with teams so required medical supplies are kept at adequate levels, including ordering, securing, and verifying receipt of supplies (such as diabetic, tube feeding, ostomy, and wound care supplies).
- Scheduling support: Upon request, assist Residential Managers with scheduling appointments.
Training and Quality Improvement
- Process review: Measure and evaluate current medical processes through audits, outcome measures, and reflective practice, and make recommendations for change.
- Staff training: Oversee and provide training on medical equipment, feeding pumps, and client health protocols.
- CNA support: Support staff working toward their CNA license, including some oversight of clinical hours.
Reporting and Documentation
- Mandatory reporting: Recognize and report signs and symptoms of abuse and neglect to Developmental Disabilities Community Services (DDCS), Residential Care Services (RCS), and Adult Protective Services (APS), and to Kokua as required.
- Documentation: Take detailed daily notes on all work completed to share with the Service Coordination Team, and complete all documentation required for state billing.
Professional Conduct
- Teamwork: Work as part of Kokua’s care team, respecting and learning from direct care staff, admin staff, and the health team, and maintain positive working relationships with all staff and outside entities.
- Communication: Keep everyone on each client’s Kokua care team informed of changes in the client’s health, including the RND and Health Coordinators, and provide regular updates to the Executive Director.
- Confidentiality: Protect client and staff privacy and keep all information confidential in accordance with Kokua policy and HIPAA.
- Ethics and policy: Uphold Kokua’s Code of Ethics, policies and procedures, and safety training guidelines.
- Licensure: Maintain an active RN license and complete the continuing education needed to keep it. Report any action that could result in loss or suspension of licensure to the Executive Director immediately.
OTHER DUTIES (NON-ESSENTIAL)
- Other duties as assigned.
PHYSICAL DEMANDS
These are the physical demands an employee must meet to perform the essential functions of this position. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Because the position is split between field work and administrative work, the demands are listed for each setting. Both sets are essential to the position.
Frequency key: Frequencies apply only to the time spent in that setting (field or office), not the full workday. Occasionally = up to 1/3 of that time; Frequently = 1/3 to 2/3 of that time; Continuously = more than 2/3 of that time.
Field work (about 60% of time)
Physical demand
Frequency
Details
Lifting and carrying
Occasionally
Lift and carry up to 35 pounds.
Transfers, repositioning, and personal care
Occasionally
Assist with client transfers, repositioning, and personal care or showering needs, with or without a mechanical lift (such as a Hoyer lift).
Bending, twisting, stooping, kneeling, reaching
Frequently
During assessments, skin checks, and hands-on care such as catheter care, wound care, and toenail trimming.
Standing and walking
Frequently
Including for prolonged periods.
Talking, hearing, and observing
Continuously
Assessing clients and communicating with clients, staff, and medical providers.
Charting and phone use
Frequently
Client charting during visits, and communication with providers and Kokua’s care team.
Emergency response
As needed
Respond quickly to emergencies, including performing CPR.
Driving
Occasionally
Regular driving throughout field work to client homes, medical appointments, hospitals, and care facilities; secure wheelchair tie-downs.
Administrative work in the office (about 40% of time)
Physical demand
Frequency
Details
Sitting
Frequently
Including for prolonged periods.
Computer and phone use
Frequently
Writing protocols, assessments, nursing notes, and other documentation; communication with providers and Kokua’s care team.
Talking and hearing
Frequently
Phone calls, meetings, and coordination with staff, providers, and Kokua’s care team.
Lifting and carrying
Occasionally
Light items such as files and medical supplies.
Work Environment
Work takes place in clients’ homes, the Kokua office, medical offices, hospitals, care facilities, and the community. The role may involve exposure to bodily fluids, communicable illness, and challenging behaviors.
QUALIFICATIONS
- Current Washington State Registered Nurse (RN) license.
- Well-developed communication skills, including professional writing skills.
- Ability to prioritize work, meet deadlines, and work with little supervision.
- CPR certification and all other state-required training (training provided by Kokua).
- Pass a criminal background and FBI fingerprint check.
- Valid driver’s license, a good driving record, and proof of automobile insurance.
- Good work references.
BENEFITS
- Health, dental, and vision insurance
- 401(k) plan with profit sharing and matching
- Section 125 (cafeteria) plan
- Vacation accrual and paid sick leave
- Eligibility for Public Service Loan Forgiveness (nonprofit employer)
- Paid training on all job duties
- Laptop, work cell phone, and equipment within the scope of the position
- Gas reimbursement
- Freshbenies: https://www.youtube.com/watch?v=260_B7vHOt4
- Medication list: https://www.rxwalker.com/freshbenies/
- Pharmacy lookup: https://www.rxwalker.com/freshbenies/pharmacy-search/
The above description is intended to describe the general nature and level of work performed by employees in this position. It is not intended to be an exhaustive list of all duties, responsibilities, and qualifications of employees assigned to this job.
Pay: $93,600.00 per year
Benefits:
- 401(k)
- Dental insurance
- Free parking
- Health insurance
- Mileage reimbursement
- Paid time off
- Vision insurance
Work Location: In person
Healthcare Advocate Jobs by Experience Level
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Who's Hiring


Top Industries Hiring
- Insurance
What Employers Look For
The qualifications that appear most often in healthcare advocate jobs.
- 1-3 years of experience in patient advocacy, case management, or health insurance navigation
- Proficiency with electronic health record systems and care management platforms
- Strong working knowledge of insurance benefits, coverage appeals, and billing processes
- Bachelor's degree in social work, healthcare administration, nursing, or a related field
- Patient Advocate Certification Board or CCM credential preferred or required
- Demonstrated ability to communicate complex medical and insurance information to patients and families
Tips for Your Healthcare Advocate Job Search
Tailor your resume for care settings
Highlight direct patient or member interaction, documentation tools like electronic health records, and any experience translating complex insurance or clinical language for non-specialist audiences. Generic healthcare experience reads as background noise without those specifics.
Get certified before you apply
A Patient Advocate Certification Board credential or a case management certificate from CCMC meaningfully separates your application in competitive markets. Hiring managers in hospital systems and managed care organizations treat these as proof of professional commitment, not just bonus points.
Target organizations by advocacy model
Independent advocacy firms, nonprofit patient organizations, and large payers each define the role differently. Read the job description carefully to identify whether the focus is insurance appeals, care coordination, or benefits counseling, then align every example in your cover letter to that model.
Apply early to roles that fit
Migrate Mate lists healthcare advocate openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Prepare conflict resolution scenarios for interviews
Interviewers for healthcare advocate roles almost always present a scenario where a patient disputes a denial or a provider disagrees with a care plan. Rehearse two to three real examples where you de-escalated tension and reached a documented resolution, using outcome-focused language.
Negotiate scope alongside compensation
Caseload size directly affects your ability to do the job well. When you receive an offer, ask about average caseloads, escalation protocols, and documentation expectations before you accept so you can evaluate whether the role is structurally set up for success.
Healthcare Advocate Jobs: Frequently Asked Questions
Which companies are hiring the most healthcare advocates?
The most active employers for healthcare advocates right now are Optum, Carenet Health, and Turnout (turnout.co), and the most openings are in Texas, Georgia, and Hawaii, based on current listings on Migrate Mate as of November 2026. Health insurers, hospital networks, and managed care organizations tend to post the highest volume of openings consistently.
How many healthcare advocate jobs are remote?
About 40% of healthcare advocate openings are fully remote or hybrid as of November 2026, with the highest remote share found in insurance appeals, benefits navigation, and telephonic case management roles. Positions requiring in-person patient accompaniment or bedside advocacy at hospital systems are more likely to be on-site.
How do you become a healthcare advocate?
Start by building a foundation in a related field, such as social work, nursing, health administration, or health insurance operations, through a relevant degree or direct work experience. Pursue a credential from the Patient Advocate Certification Board or the Commission for Case Manager Certification to formalize your expertise. Build hands-on experience through roles in patient services, member support, or care coordination before moving into a dedicated advocacy position.
Can you get a healthcare advocate job with little experience?
Yes, entry-level healthcare advocate roles exist, particularly at nonprofit patient organizations, community health centers, and insurance call centers. Hiring managers at these organizations often prioritize strong communication skills, empathy, and familiarity with health insurance terminology over years of formal experience. Volunteer work at a patient services organization or a certificate in medical billing can help you compete for those openings when your direct experience is limited.
What does the healthcare advocate interview process look like?
Most healthcare advocate interviews include a phone screen focused on your background in patient or member services, followed by one or two structured rounds that use behavioral and scenario-based questions. Interviewers frequently present a denial or conflict scenario to assess how you navigate competing priorities and communicate with upset patients or families. Some employers also include a brief written exercise or role-play to evaluate documentation skills and tone.
Where can I find and apply to healthcare advocate jobs?
You can find and apply to healthcare advocate jobs on Migrate Mate, which lists current openings from across the United States. Search the listings to find roles that match your experience level, preferred setting, and location, then apply directly to each opening that fits.
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