Health Partner Remote - Phoenix, United States - Banner Health

Banner Health

Verified Company

Phoenix, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Primary City/State:

Arizona, Arizona

Department Name:

Health Mgmt

Work Shift:

Day

Job Category:

Clinical Care

Banner Plans & Networks (BPN) is a nationally recognized healthcare leader that integrates Medicare and private health plans. Our main goal is to reduce healthcare costs while keeping our members in optimal health. BPN is known for its innovative, collaborative, and team-oriented approach to healthcare.

We offer diverse career opportunities, from entry-level to leadership positions, and extend our innovation to employment settings by including remote and hybrid opportunities.

As the Health Partner Social Worker, you will bring your experience and passion for health care to our Population Health Management team within the Insurance Division here at Banner Health.

You will have the opportunity to work on a multi-disciplinary team and build relationships with the goal of making an impact on our patients at such an important time in their lives.

You will be an active and engaged change agent; dedicated to help educate our patients and families.

Banner Health Network (BHN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County.

Through BHN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs.

This position will be responsible to manage members with high risk, chronic complex conditions, rising risk, and acute conditions in the delegated populations.

The Health Partner will be the main point of contact for members and providers across care settings.

The aim is to better manage members in a home-based setting providing a variety of support functions which contribute to the overall improvement in members' healthcare quality of life as well as efficient use of resources.

Engages the appropriate resources within the multidisciplinary team to achieve optimal results for the member, family, and care givers. This position provides comprehensive care coordination for members as assigned.

This position ensures adherence to the plan of care and develops, implements, monitors, and documents the utilization of resources and progress of the member through their care, facilitating options and services to meet the members' health care needs.

CORE FUNCTIONS

Manages individual patients across the health care continuum (longitudinal support) to achieve the optimal clinical, financial, operational, and satisfaction outcomes. Coaches members regularly regarding disease related symptom management. Advises members on lifestyle choices to improve prognosis and overall health. Provides patient monitoring, education, and supports patient care plan adherence.
Provides self-management support. Including, but not limited to; using checklists and escalating as prescribed by protocols, promoting healthy behaviors, imparting problem-solving skills, and assisting with the emotional impact of chronic illness, providing regular follow up and encouraging members to be active participants in their care.
Applies the skills of motivational interviewing to promote the above lifestyle changes and member enrollment and participation in case management programs Provides emotional support by showing interest, inquiring about emotional issues, showing compassion, and teaching compassion.
Establishes and promotes a collaborative relationship with physicians, payers, and other members of the health care team. Collects and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements. Bridges gaps between the member and the clinical team including but not limited to following up with members, asking about needs and obstacles, and addressing health literacy, cultural issues, and social-class barriers.
Meets and accompanies the member and family to their initial appointments and/or conducts in-home assessments based on members' needs. Assists members in navigating the health care system by connecting resources, facilitating support, and empowering the member.
Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice. Interacts with all levels of staff in a variety of departments, physicians, payers, members, families, and external contacts, such as employees of other health care institutions, community providers, and agencies, concerning the health care and case management needs of the member. Interacts with other health care providers in numerous settings to report and ask for or clarify information. Synthesizes and prioritizes data from multiple sources to provide support for the human response of the