- 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
- Documents their activities in the care coordination platform, including care plan activities conducted.
- 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.
- 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
- Experience working with Medicare, Medicaid or Special Needs populations.
- 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
- Experience working with patients with chronic and behavioral health needs.
- 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.
-
patient health advocate
3 weeks ago
Somatus , IN, United StatesOverview · As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home. · It takes a village of passionate and tenacious innovato ...
-
Community Partners Liaison
2 weeks ago
Firefly Children & Family Alliance Marion, United States**BUILD A CAREER THAT MEANS MORE** · **Few jobs offer the satisfaction and gratification that come from doing work that improves the lives of vulnerable children and families. That's where Firefly Children and Family Alliance stands out from the crowd. As one of our employees, yo ...
-
Patient Care Coordinator, Rn
1 week ago
The Jane Pauley Community Health Center, Inc Indianapolis, United States**_Our competitive employment offerings include:_** · **Have Balance: Investing in YOU** · - No after-hours/on-call responsibilities; office hours M-F, 8 a.m.5 p.m. · - Medical, vision, and dental plans · - Generous vacation time: 216 hours annually (or pro-rated) · - Extensive l ...
-
Comprehensive Hiv Services Specialist
1 week ago
Damien Center Indianapolis, United States**Comprehensive HIV Services Specialist** · **_ Part-time, temporary, grant funded, 1 year assignment_** · **_ _**_Damien Center - CAFÉ Location_** · The Damien Center empowers communities and persons affected by HIV/AIDS in the state of Indiana by being a leading resource, provi ...
-
Radiology Supervisor
1 week ago
Eskenazi Health Indianapolis, United States**Division**:Eskenazi Health · **Sub-Division**: Hospital · **Req ID**: 20650 · **Schedule**: Full Time · **Shift**: Days · Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of pr ...
-
Radiology Supervisor
1 week ago
Eskenazi Health Indianapolis, United States**Division**:Eskenazi Health · **Sub-Division**: Hospital · **Req ID**: 20650 · **Schedule**: Full Time · **Shift**: Days · Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of pr ...
-
Behavioral Health Training and Development
1 week ago
Eskenazi Health Indianapolis, United States**Division**:Eskenazi Health · **Sub-Division**: SEMHC · **Req ID**: 19548 · **Schedule**: Full Time · **Shift**: Days · Sandra Eskenazi Mental Health Center, Indiana's first community mental health center, provides comprehensive care for emotional and behavioral problems, includ ...
-
Staff Nurse Ii
1 week ago
Eskenazi Health Indianapolis, United States**Division**:Eskenazi Health · **Sub-Division**: SEMHC · **Req ID**: 20180 · **Schedule**: Full Time · **Shift**: Days · Sandra Eskenazi Mental Health Center, Indiana's first community mental health center, provides comprehensive care for emotional and behavioral problems, includ ...
-
Medical Assistant
1 week ago
Eskenazi Health Indianapolis, United States**Division**:Eskenazi Health · **Sub-Division**: FQHC · **Req ID**: 20835 · **Schedule**: Full Time · **Shift**: Varied (Days/Evenings) · Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensi ...
-
Adult Addictions Counselor
1 week ago
Eskenazi Health Indianapolis, United States**Division**:Eskenazi Health · **Sub-Division**: SEMHC · **Req ID**: 20609 · **Schedule**: Full Time · **Shift**: Varied · Sandra Eskenazi Mental Health Center, Indiana's first community mental health center, provides comprehensive care for emotional and behavioral problems, incl ...
-
Site Director
1 week ago
Westminster Preschool Marion, United States_**1) Summary**_ · The Site Director is responsible for ensuring the health, safety, and quality of education, for all children within the center's care. The Site Director is directly accountable for overall operational management in accordance with well-established guidelines, i ...
-
Life Coach- Excel Center Grant County
1 week ago
Goodwill Industries of Central Indiana, Marion, United States_**This is for our brand new Excel Center serving Grant County/Marion, IN residents later this summer (the position will start ASAP to assist with opening the school). The general salary range is $46-$55K annually including full benefits (below)**:_ · The Coach promotes continued ...
-
Program Manager
1 week ago
PSI Molded Plastics South Carolina Marion, United States**Summary/Objective**: · The Program Manager at PSI is the primary customer service advocate and champion and ensures the customer has a world-class experience. · **Duties and Responsibilities**: · To perform this job successfully, an individual must be able to perform each essen ...
-
Licensed Dental Hygienist
1 week ago
Edgewood Family Dental Indianapolis, United StatesDental Hygienist · Edgewood Family Dental · is looking for a full time Dental Hygienist to join our team · M 8:30-5:30, T-Th 7:30-5 · About Edgewood Family Dental: · We are a small family oriented single Doctor practice with a team of 6 · Your schedule will consist of 7-10 patien ...
-
Inpatient RN Case Manager
3 weeks ago
Medasource Indianapolis, United States Part time4x8 shifts · 8:00am-4:30pm · As a nurse case manager, your primary responsibility is to act as a patient advocate. Your duties will include helping patients and their families understand their health status and treatment options while ensuring that the patient receives the assist ...
-
Case Management Nurse
3 weeks ago
Medasource Indianapolis, United StatesJob Title: RN Case Manager · Duration: 13-week Contract · Shift: 8a-4:30p (32 hours/week) · Location: Indianapolis, IN · Requirement: · As a nurse case manager, your primary responsibility is to act as a patient advocate. Your duties will include helping patients and their famili ...
-
Board Certified Behavioral Analyst
1 day ago
Tangram, Inc. Indianapolis, IN, United States: · A Board-Certified Behavior Analyst (BCBA) is a professional who studies the behavior of children and adults to help address problematic behaviors. · *BCBA responsibilities include:* · * Observing patients and assessing their behavior · * Meeting with families, teachers, or do ...
-
Travel Nurse
2 days ago
Uniti Med Indianapolis, United StatesUniti Med is seeking an experienced Medical Surgical Registered Nurse for an exciting Travel Nursing job in Indianapolis, IN. Shift: Inquire Start Date: 06/17/2024 Duration: 13 weeks Pay: $1942.2 / Week About Uniti Med: · Uniti Med provides career opportunities to healthcare pro ...
-
case manager rn
4 days ago
Eskenazi Health Indianapolis, United States Full time (w/ben) 11The Case Manager, RN is responsible for managing each patient's plan of care, monitoring for appropriate resource utilization, and coordinating the patient's discharge plan. Essential Functions and Responsibilities · Proactively contributes to Eskenazi Health mission: Advoca ...
-
RN Field Case Manager
4 days ago
MetaSense Inc Indianapolis, United StatesJob Details: · PositionTitle: RN Field Case Manager · PositionType: Permanent, Full-Time · Location:Indianapolis, IN (Remote with 70% of travel) · Client:Sedgwick (Insurance and Claims company) · Salary:$80k depending on experience · PRIMARY PURPOSE OF THE ROLE: · Field Case Ma ...
patient health advocate - , IN, United States - Somatus
Description
OverviewSomatus offers a Hybrid Telehealth environment with a combination of remote days and visits to members' homes.
This position will be focused on high needs Chronic Kidney Disease (CKD) and End-Stage Kidney Disease (ESKD) populations that face multiple challenges, from accessing resources to adhering to a physician's treatment plan.
The CHW-Patient Advocate will work as an extension of the clinical care team, specifically under the guidance of RN Care Manager and act as an advocate guiding them through their care needs.
The individual taking this role will manage his/her caseload through in-person, telephonic and electronic means of communications and coordination. The Patient Advocate will be the first and primary representative of Somatus to our members.He/she will be the key holder of the patient relationship and trust and will be responsible for building this relationship.
He or she will be tasked as the person that schedules the initial wellness exam and care management assessment meeting with Somatus clinicians.
After an individual care plan is developed, will be the person that facilitates connecting and scheduling the many resources within and beyond Somatus to the patient (including the various members of our care team as well as PCPs, Nephrologists, etc.).
The Patient Advocate will also be involved in the community to plug in the patient with others and help facilitate their overall wellbeing.
This position is a market-based position.Responsibilities
can provide via phone, such as:
MEASURES OF SUCCESS
Required
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.
If you are unable to be vaccinated for medical reasons or sincerely-held religious beliefs, we will consider requests for reasonable accommodations consistent with our policy, and where we are able to provide such accommodations without undue hardship to the company pursuant to applicable law.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Somatus, Inc.provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law.
Further, the company takes affirmative action to ensure that applicants are employed, and employees are treated during employment without regard to any of these characteristics.
Discrimination of any type will not be tolerated.
