Patient Advocate

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

• 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.
• Aid patients in navigating the healthcare system.
• Carefully 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.
• Aids with client relations. Generates and provides reports or documents for the Account Manager.

REQUIRED KNOWLEDGE, SKILLS, & ABILITIES

• 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