Patient Health Advocate

Works under the guidance of physicians and/or a nurse care manager. Follow-up with health management plans and goals. Establish positive, supportive relationships with participants and provide feedback. Conduct an initial triage assessment to help align patients with the most appropriate program in accordance with program guidelines. Documents their activities in the care coordination platform, including care plan activities conducted. Engages with patients who need assistance with self-care needs in addition to what a nurse care manager can provide via phone, such as:

• Address language and cultural barriers to care management and self-care.
• Coach and guide the patient to meet both personal and clinical goals.
• Schedules provider appointments on behalf of their patients.
• Accompanies patients to their appointments when needed.
• Reminds patients of their upcoming appointments.
• Helps patients access community and government-based services, including possibly filling out paperwork for the patient.
• Helps to teach the caregiver about symptom response plans.
• Arranges transportation.
• Facilitates closing gaps in care by educating patients about preventive monitoring and working with physician practices to schedule diagnostic testing.
• Assists patients with enrolling to access educational videos.
• Participates in the integrated care team meetings.
• Act as the patient advocate and support the member through their patient journey starting with initial outreach.
• Conduct telephonic outreach to members within designated geographic area to introduce the Somatus program and encourage enrollment to build their patient caseload.
• Conduct door-to-door engagement outreach for patients with telephonic barriers.
• Support NP and RNCM care team members through facilitating in home telehealth visits with patients.
• Utilize motivational interviewing techniques to encourage patients to make behavioral changes.

Measures of Success

• Patient Engagement
• Care Setting Transitions
• Assessment
• Monthly Goal completion as set by the RNCM
• Patient Success – as measured by no/reduced hospital or ER visits on a monthly basis

How You'll Strengthen Our Team:

Qualifications:

• Experience working with Medicare, Medicaid or Special Needs populations.
• High school diploma or GED required.
• Medical Assistant, Licensed Practical Nurse, Engagement Specialist or Community Health Worker Experience.
• Ability to connect with people and understand the challenges they face.
• Ability to use a range of outreach methods to engage individuals and groups in diverse settings.
• Well connected to the community and resources within the community they will serve.
• Effective written and verbal communication skills demonstrating respect and cultural awareness during interactions with clients.
• Ability to travel throughout the assigned region and comfort with conducting home visits (50-75% same day travel).
• Great motivator
• Organized Coach
• Empathetic
• Outgoing / positive personality

Preferred Qualifications:

• Experience working with patients with chronic and behavioral health needs.
• Associates degree or higher from an accredited college preferred.
• Demonstrated success in working as part of a multi-disciplinary team including communicating and working with Physicians and Registered Nurses.
• Proven experience with engaging patients in making healthy behavior changes.
• Proven skills in navigating the health systems and making necessary linkages in order to meet specific needs.
• Experience working with Electronic Medical Records and other documentation platform.

Compensation:

$22.00 to $26.00 per hour

We offer competitive compensation that reflects market conditions and recognizes the skills, experience, and contributions of our team members. Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies, experience, and geographic location and may fall outside of the range shown above.

This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee. Duties, responsibilities, and activities may change at any time with or without notice. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Our priority is the health and safety of our members, colleagues, partners, and community. For this position, we require proof of COVID-19 vaccination, annual Influenza vaccination, along with immunizations for Hepatitis, MMR, Varicella, Tdap, and TB for employment.

Our Commitment to Diversity:

At Somatus, we celebrate what makes us unique — our people. We believe that a culture intentionally built to foster and support our unique passions, experiences, and perspectives helps fuel us in the pursuit of our mission. Somatus, Inc. provides equal employment opportunity to all individuals regardless of race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by law. Discrimination of any type will not be tolerated.