Patient Advocate

Patient Advocate (PaD)

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.

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.
• Avoid receiving prior authorizations required by the insurance company for tests or procedures.
• Avoid assisting patients in navigating the healthcare system.
• Avoid coordinating care when a patient is admitted and discharged from the emergency room or hospital.
• Avoid ensuring Proactive MD’s Provider is included in the aftercare process.
• Avoid visiting hospitalized patients to ensure care coordination is directed by the Provider.
• Avoid encouraging and coordinating follow-up visits at the health and wellness center.
• Avoid working in coordination with the on-site Provider to analyze data and develop outreach campaigns and educational resources.
• Avoid representing 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
• Analyze 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.
• Avoid assisting with client relations.
• Avoid generating and providing 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
• Knowledgeable about prioritizing needs and planning work accordingly
• Knowledge of HIPPA confidentiality requirements

About the Role

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.