{"id":3027,"date":"2013-05-29T04:00:29","date_gmt":"2013-05-29T08:00:29","guid":{"rendered":"https:\/\/kerryhannon.com\/?p=3027"},"modified":"2013-05-28T21:51:04","modified_gmt":"2013-05-29T01:51:04","slug":"working-in-retirement-how-to-be-a-patient-advocate","status":"publish","type":"post","link":"https:\/\/kerryhannon.com\/?p=3027","title":{"rendered":"Working in Retirement: How to Be a Patient Advocate"},"content":{"rendered":"<p><a href=\"https:\/\/i0.wp.com\/kerryhannon.com\/wp-content\/uploads\/2012\/05\/next-ave.gif?ssl=1\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"1432\" data-permalink=\"https:\/\/kerryhannon.com\/?attachment_id=1432\" data-orig-file=\"https:\/\/i0.wp.com\/kerryhannon.com\/wp-content\/uploads\/2012\/05\/next-ave.gif?fit=300%2C300&amp;ssl=1\" data-orig-size=\"300,300\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;}\" data-image-title=\"next-ave\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/kerryhannon.com\/wp-content\/uploads\/2012\/05\/next-ave.gif?fit=300%2C300&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/kerryhannon.com\/wp-content\/uploads\/2012\/05\/next-ave.gif?fit=300%2C300&amp;ssl=1\" class=\"alignleft size-thumbnail wp-image-1432\" alt=\"next-ave\" src=\"https:\/\/i0.wp.com\/kerryhannon.com\/wp-content\/uploads\/2012\/05\/next-ave.gif?resize=150%2C150&#038;ssl=1\" width=\"150\" height=\"150\" srcset=\"https:\/\/i0.wp.com\/kerryhannon.com\/wp-content\/uploads\/2012\/05\/next-ave.gif?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/kerryhannon.com\/wp-content\/uploads\/2012\/05\/next-ave.gif?w=300&amp;ssl=1 300w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>This week, I received an email from a friend who has been caring for his ailing mother. Here\u2019s what he wrote:<\/p>\n<p><em>\u201c<\/em>I feel very good about what I&#8217;ve been able to make happen here, no matter what it has cost me in time and momentum on other things. I had to fight \u2014 against a truly insane insurance-medical complex, but I was able to get my mother a procedure that rescued her life. Even after that, she would have had little hope of recovery if she didn&#8217;t have someone who was able to put in the time and effort.<em>\u201d<\/em><\/p>\n<p>Fighting for his mother\u2019s medical care, my friend had, in essence, become a patient advocate.<\/p>\n<p>We all find ourselves in that position at one time or another. In my family, my younger brother and sister-in-law led the charge as Dad battled Alzheimer\u2019s.<\/p>\n<p><strong>The Booming Field of Patient Advocates<\/strong><\/p>\n<p>Because navigating the medical field can be a headache that no amount of Motrin can numb, there\u2019s now a growth field known as professional patient advocates (or patient navigators), particularly among boomer women. In addition to providing comfort to the infirm, these aides can earn between $20 and $250 an hour, averaging about $125 an hour.<\/p>\n<p>(<strong>MORE:<\/strong> <a href=\"http:\/\/www.nextavenue.org\/article\/2013-01\/patient-navigators-new-help-caregivers\" target=\"_blank\">Patient Navigators: New Help for Caregivers<\/a>)<\/p>\n<p>I first wrote about patient advocates in my book <a href=\"http:\/\/www.amazon.com\/gp\/product\/1118203682?ie=UTF8&amp;tag=kerrhann-20&amp;linkCode=xm2&amp;creativeASIN=1118203682\" target=\"_blank\"><em>Great Jobs for Everyone 50+<\/em><\/a>, noting some terrific part-time employment opportunities catering to America\u2019s aging population. Recently, I wrote a New York Times article, \u201c<a href=\"http:\/\/www.nytimes.com\/2013\/03\/19\/education\/a-gray-jobs-market-for-all-ages.html\" target=\"_blank\">A Gray Jobs Market for All Ages<\/a>,\u201d featuring Kelly Lonigan, 71, a former clinical social worker who decided to \u201cunretire\u201d and enroll in the fast-track, online patient advocacy certificate program for older students from <a href=\"http:\/\/www.empowered.com\/\" target=\"_blank\">Empowered UCLA Extension<\/a>, featured earlier<a href=\"http:\/\/www.nextavenue.org\/article\/2012-11\/new-college-program-launch-your-second-career\" target=\"_blank\"> on Next Avenue<\/a>. Patient advocacy is one of the school\u2019s most popular courses.<\/p>\n<p>The profession, however, is so new that there are no state licenses, requirements or accreditation for its workers. There isn\u2019t even a singular definition of a patient advocate.<\/p>\n<p><strong>What Patient Advocates Do<\/strong><\/p>\n<p>A patient advocate&#8217;s responsibilities can include wrestling with billing mistakes on medical bills and negotiating with insurers who\u2019ve rejected policyholders for coverage. The advocate might also help patients pick doctors, discuss treatment options, assist in finding a specialist or hospital, keep track of prescriptions or accompany patients to doctor appointments to take notes and ask questions.<\/p>\n<p>Just as the work of a patient advocate varies, so does the way you can enter the field. You could:<\/p>\n<ul>\n<li>Hang out a shingle and work on an hourly basis for one person or a family.<\/li>\n<li>Join a hospital, medical center or nursing home.<\/li>\n<li>Sign up with the American Cancer Society, which offers <a href=\"http:\/\/www.cancer.org\/treatment\/supportprogramsservices\/index\" target=\"_blank\">cancer patient navigators <\/a>in selected cities. The National Institutes of Health\/National Cancer Institute is also financing several <a href=\"http:\/\/crchd.cancer.gov\/pnp\/pnrp-index.html\" target=\"_blank\">patient navigator pilot projects<\/a>.<\/li>\n<li>Land a job via the Affordable Care Act (sometimes known as Obamacare), which includes a <a href=\"http:\/\/www.centralctahec.org\/downloads\/Patient-Navigation-Exec-Summary.pdf\" target=\"_blank\">provision for insurance navigators<\/a> at community groups, trade associations, chambers of commerce who will help new enrollees evaluate federal and state health exchange insurance plans,<\/li>\n<\/ul>\n<p>(<strong>MORE:<\/strong>\u00a0<a href=\"http:\/\/www.nextavenue.org\/blog\/3-things-women-should-know-about-health-reform\" target=\"_blank\">3 Things Women Should Know About Health Reform<\/a>)<\/p>\n<p><strong>Why People Become Patient Advocates<\/strong><\/p>\n<p>To learn what it takes to become a patient advocate, I called Elisabeth Schuler Russell, a pioneer in the field. A former State Department Foreign Service officer, in 2004 she founded Patient Navigator in Vienna, Va., after guiding her 2-year-old daughter\u2019s journey through an inoperable brainstem tumor. Russell is also president of the <a href=\"http:\/\/nahac.memberlodge.com\/\" target=\"_blank\">National Association of Healthcare Advocacy Consultants<\/a>.<\/p>\n<p>\u201cPeople always say to me, \u2018You\u2019re not a nurse, how can you do this work?\u2019\u201d Russell says. Easy. The skills she acquired in her 25-year diplomatic career \u2014 ones you may share \u2014 carried over into her new line of work, namely oral and written communication and negotiating.<\/p>\n<p>Russell says most patient advocates are women who have been through some kind of complicated encounter with the medical delivery system, either for themselves or a family member or spouse. \u201cThey know what it\u2019s like to feel lost in the system,\u201d she says.<\/p>\n<p>Many advocates become motivated, Russell says, by this noble thought: \u201cI know things that can prevent other people from having to go through what I&#8217;ve gone through.\u201d<\/p>\n<p>Medically trained professionals \u2014 doctors, nurses and social workers \u2014 are also segueing into the advocacy route. \u201cThey want to take what they know and help families,\u201d Russell says.<\/p>\n<p>(<strong>MORE: <\/strong><a href=\"http:\/\/www.nextavenue.org\/blog\/3-great-jobs-ride-age-wave\" target=\"_blank\">Three Great Jobs to Ride the Age Wave<\/a>)<\/p>\n<p><strong>3 Tips to Be a Successful Patient Advocate<\/strong><\/p>\n<p>If you\u2019re intrigued about becoming a patient advocate, here are three tips:<\/p>\n<p><strong>1. Enroll in a specialized program. <\/strong>You can get schooling in a variety of ways. There are an increasing number of patient advocacy certificate programs around the country. The <a href=\"http:\/\/www.aphadvocates.org\/\" target=\"_blank\">Master List of Health and Patient Advocacy Educational Courses, Programs and Organizations<\/a> is a great resource for finding them.<\/p>\n<p>Universities are teaching patient advocacy, too. Sarah Lawrence College has a master\u2019s level program and the University of Wisconsin and the University of Miami offer courses online. You can learn more about programs like these from the <a href=\"http:\/\/nahac.memberlodge.com\/\" target=\"_blank\">National Association of Healthcare Advocacy Consultants<\/a> and the nonprofit <a href=\"http:\/\/www.patientadvocate.org\/\" target=\"_blank\">Patient Advocate Foundation<\/a>.<\/p>\n<p>You\u2019ll increase your value as a patient advocate \u2014 and your potential income \u2014 by developing an expertise, focusing on, say, cancer, insurance or the elderly. This will deepen your knowledge, giving you a marketable niche.<\/p>\n<p>If you\u2019re eyeing the aging market, for example, you might enroll in the <a href=\"http:\/\/www.csa.us\/\" target=\"_blank\">Society of Certified Senior Advisors\u2019 certification program<\/a>.<\/p>\n<p><strong>2. Expand your general knowledge of the healthcare system. <\/strong>It takes more than a desire to share what you\u2019ve learned about the medical miasma to really add value to your clients. You\u2019ll want to develop an understanding of the intricacies of private insurance, including its process of appeals and denials, as well as a grounding in Medicare.<\/p>\n<p>Plus, you\u2019ll want to glean the skinny on the bureaucratic structure of the agencies you\u2019ll work with: hospitals, nursing homes, assisted living facilities, rehab and cancer centers and doctor\u2019s offices.<\/p>\n<p><strong>3. Make sure you\u2019re prepared emotionally.<\/strong> You\u2019ll be hired to serve as an objective third party for a patient, but it\u2019s impossible to do the job without experiencing some trauma yourself. \u201cThe work can be hard on the soul and emotionally taxing,\u201d Russell says. \u201cI have cried many times.\u201d<\/p>\n<p>That said, the ability to solve problems for patients and families can offset that sorrow. While you probably can\u2019t make a full-time living as a patient advocate, this is precisely the kind of work that has the magic healing power to transcend financial rewards.<\/p>\n<p>As my friend wrote in his email: \u201cI asked my mother what she would have done if I hadn\u2019t been here. She said, \u2018I would have given up.\u2019 And that says it all.\u201d<\/p>\n<p>posted by <a href=\"http:\/\/www.nextavenue.org\/expert\/kerry-hannon\">Kerry Hannon<\/a>, April 20, 2013 <a href=\"http:\/\/www.nextavenue.org\/expert\/kerry-hannon\">More by this author<\/a><\/p>\n<div><img data-recalc-dims=\"1\" decoding=\"async\" alt=\"Three tips to become a patient advocate in retirement, working part-time\" src=\"https:\/\/i0.wp.com\/www.nextavenue.org\/sites\/default\/files\/img\/expert\/kerry.jpg?w=640&#038;ssl=1\" \/>Kerry Hannon has spent more than 25 years covering personal finance for Forbes, Money, U.S. News &amp; World Report and USA Today. Her website is <a href=\"https:\/\/kerryhannon.com\/\" target=\"_blank\">kerryhannon.com<\/a>. Follow her on Twitter <a href=\"http:\/\/twitter.com\/#%21\/KerryHannon\" target=\"_blank\">@kerryhannon<\/a>.<\/div>\n<div style=\"padding-bottom:20px; padding-top:10px;\" class=\"hupso-share-buttons\"><!-- Hupso Share Buttons - http:\/\/www.hupso.com\/share\/ --><a class=\"hupso_toolbar\" href=\"http:\/\/www.hupso.com\/share\/\"><img data-recalc-dims=\"1\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/static.hupso.com\/share\/buttons\/share-small.png?w=640&#038;ssl=1\" style=\"border:0px; padding-top:5px; float:left;\" alt=\"Share Button\"\/><\/a><script type=\"text\/javascript\">var hupso_services_t=new Array(\"Twitter\",\"Facebook\",\"Google Plus\",\"Pinterest\",\"Linkedin\",\"StumbleUpon\",\"Digg\",\"Reddit\",\"Bebo\",\"Delicious\");var hupso_background_t=\"#EAF4FF\";var hupso_border_t=\"#66CCFF\";var hupso_toolbar_size_t=\"small\";var hupso_image_folder_url = \"\";var hupso_url_t=\"\";var hupso_title_t=\"Working in Retirement: How to Be a Patient Advocate\";<\/script><script type=\"text\/javascript\" src=\"https:\/\/static.hupso.com\/share\/js\/share_toolbar.js\"><\/script><!-- Hupso Share Buttons --><\/div>","protected":false},"excerpt":{"rendered":"<p>This week, I received an email from a friend who has been caring for his ailing mother. Here\u2019s what he wrote: \u201cI feel very good about what I&#8217;ve been able to make happen here, no matter what it has cost me in time and momentum on other things. I had to fight \u2014 against a [&hellip;]<\/p>\n<div style=\"padding-bottom:20px; padding-top:10px;\" class=\"hupso-share-buttons\"><!-- Hupso Share Buttons - http:\/\/www.hupso.com\/share\/ --><a class=\"hupso_toolbar\" href=\"http:\/\/www.hupso.com\/share\/\"><img src=\"https:\/\/static.hupso.com\/share\/buttons\/share-small.png\" style=\"border:0px; padding-top:5px; float:left;\" alt=\"Share Button\"\/><\/a><script type=\"text\/javascript\">var hupso_services_t=new Array(\"Twitter\",\"Facebook\",\"Google Plus\",\"Pinterest\",\"Linkedin\",\"StumbleUpon\",\"Digg\",\"Reddit\",\"Bebo\",\"Delicious\");var hupso_background_t=\"#EAF4FF\";var hupso_border_t=\"#66CCFF\";var hupso_toolbar_size_t=\"small\";var hupso_image_folder_url = \"\";var hupso_url_t=\"\";var hupso_title_t=\"Working in Retirement: How to Be a Patient Advocate\";<\/script><script type=\"text\/javascript\" src=\"https:\/\/static.hupso.com\/share\/js\/share_toolbar.js\"><\/script><!-- Hupso Share Buttons --><\/div>","protected":false},"author":2,"featured_media":1432,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[59,62,95,9,16],"tags":[211,210,134,333,209],"class_list":["post-3027","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-careers","category-next-avenue","category-older-workers-2","category-retirement","category-working-after-retirement","tag-insurance","tag-medical","tag-next-avenue-2","tag-retirement","tag-working"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/kerryhannon.com\/wp-content\/uploads\/2012\/05\/next-ave.gif?fit=300%2C300&ssl=1","jetpack_shortlink":"https:\/\/wp.me\/p3YFQS-MP","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/kerryhannon.com\/index.php?rest_route=\/wp\/v2\/posts\/3027","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kerryhannon.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kerryhannon.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kerryhannon.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/kerryhannon.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3027"}],"version-history":[{"count":5,"href":"https:\/\/kerryhannon.com\/index.php?rest_route=\/wp\/v2\/posts\/3027\/revisions"}],"predecessor-version":[{"id":3035,"href":"https:\/\/kerryhannon.com\/index.php?rest_route=\/wp\/v2\/posts\/3027\/revisions\/3035"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kerryhannon.com\/index.php?rest_route=\/wp\/v2\/media\/1432"}],"wp:attachment":[{"href":"https:\/\/kerryhannon.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3027"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kerryhannon.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3027"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kerryhannon.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3027"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}