Patient Advocate at Proactive MD

Santa Fe, New Mexico, United States -

Full Time

Start Date

Immediate

Expiry Date

04 Sep, 26

Salary

0.0

Posted On

06 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Care Coordination, Case Management, Patient Education, Population Risk Management, HIPAA Compliance, Data Analysis, Patient Advocacy, Healthcare Navigation, Clinical Outreach, Client Relations

Industry

Hospitals and Health Care

Description

People are a company's greatest resource, which is why caring for employees and keeping them healthy is so important. Proactive MD offers a comprehensive health management solution that extends well beyond the clinic walls. Access to on-site physicians, full direct primary care services, and excellent client support are the hallmarks of our program. By engaging a workforce and offering them a personal relationship with a primary care physician, we can deliver measurably better outcomes, making people happier, healthier, and more productive while significantly lowering overall medical costs for employers. We put employees' health first because amazing care yields amazing results. We are the next generation of workplace health centers. JOB SUMMARY The mission of the Patient Advocate (PaD) is to facilitate and ensure continuity in patient care and serve as a conduit of care between the services of the health center and the community. The PaD will strategically engage employees and their dependents before, during, and after visits to the center in order to ensure we are providing personalized, informative, and compassionate care. The individual will work closely with the Vice President of Service Delivery, Account Manager, Medical Assistant, Provider, and Client HR Team. ESSENTIAL DUTIES AND RESPONSIBILITIES Coordination of Care Under the direction of the Provider and Sr. Patient Advocate, the PaD will coordinate care with external specialists, labs, medical equipment providers, counselors, health classes, etc. Ensure electronic medical records are provided to Proactive MD’s Provider following any specialist visit. Receive prior authorizations required by the insurance company for tests or procedures. Assist patients in navigating the healthcare system. Coordinate care when a patient is admitted and discharged from the emergency room or hospital. Ensure Proactive MD’s Provider is included in the aftercare process. Visit hospitalized patients to ensure care coordination is directed by the Provider. Encourage and coordinate follow-up visits at the health and wellness center. Works in coordination with the on-site Provider to analyze data and develop outreach campaigns and educational resources. The PaD is responsible for the execution and success of these campaigns Represent the health and wellness center at internal and external meetings and events. Patient Education Be knowledgeable about and provide information to patients regarding available community services that could enhance their care. Coordinate patient care and treatment plans; provide educational materials/consultation; follow up on patient well-being. Reporting & Analytics Analyzes data to bring forth information as it pertains to population risk management. The PaD utilizes this data in collaboration with the Provider to develop outreach campaigns and outreach programs accordingly. Evaluate historical claims data; collaborate with physicians on clinical priorities; and develop programs, outreach campaigns, and educational resources that will encourage health and wellness center utilization. Assists with client relations. Generates and provides reports or documents for the Account Manager. REQUIRED KNOWLEDGE, SKILLS, & ABILITIES Required: 2+ years of experience working in a healthcare setting, Medical or Healthcare Social Work in a similar setting, or Case Management role Bachelor of Social Work Degree Knowledge of the concepts and principles of case management Ability to communicate effectively and maintain working relationships with people from diverse backgrounds Knowledge of the healthcare industry and available patient resources Knowledge of payors Ability to prioritize needs and plan work accordingly Knowledge of HIPPA confidentiality requirements Proactive MD is firmly committed to creating a diverse workplace and is proud to provide equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, gender identity and/or expression, sexual orientation, ethnicity, national origin, age, disability, genetics, marital status, amnesty status, or veteran status applicable to state and federal laws.

Responsibilities

The Patient Advocate facilitates continuity of care by coordinating between health center services, external specialists, and the community. They engage employees and dependents to provide personalized care and develop educational outreach campaigns based on population health data.