At a glanceSummarised by Seekless from the posting.
Must have13
High School diploma or equivalent
Established a track record of excellent data management skills
A minimum of 2 years working in a healthcare setting with patient-facing responsibilities
Any combination of three years of health/social services experience and/or education
Must possess a valid driver's license
Reliable transportation
Spoken and written fluency in English
Competent-level business acuity
Strong interpersonal and communication skills
Ability to work autonomously
Strong time management skills and ability to prioritize
Comfort working in fast-paced setting with a willingness to adapt to change
Proficient in Microsoft office suite products including Word, Excel, PowerPoint and Outlook
Nice to have2
Experience working with geriatric patients is a plus
A minimum of 2 years working directly with a primary care physician in an outpatient setting is preferred
Eligibility2
Verifiable good driving record
Ability and willingness to travel locally to patient homes up to 50% of the time
Skills
Microsoft Office suite
Word
Excel
PowerPoint
Outlook
Benefits
Health insurance
Dental insurance
Vision insurance
401(k)
Life insurance
Paid time off
Tuition reimbursement
Employee assistance program
Flexible spending account
Short term disability
Long term disability
Critical illness insurance
Accident insurance
Hospital indemnity insurance
Identity theft protection
Pet insurance
Legal insurance
We’re unique. You should be, too.
We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?
We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.
About the role
The Social Complex Coordinator, CHW is a vital HCT member who will use strong local community knowledge to help engage patients in our primary care model, deepening the patient relationship with us and the patient’s understanding of their care plan. The incumbent will facilitate visits with our physicians through video during these community visits. The Social Complex Coordinator, CHW, Complex Care will also use telephonic outreach to ensure patients are doing well after hospital discharge and during other times of increased medical risk to the patients. The incumbent will work closely with our nurse care managers and social workers to support a multidisciplinary approach to meeting our most complex patients’ medical and social needs. The incumbent will also help the HCT with patient scheduling and other tasks as determined by the team leaders.
ESSENTIAL JOB DUTIES/RESPONSIBILITIES:
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Assists patients in their homes with telehealth visits with their Primary Care Physicians
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Works with patients assigned to us who are not actively engaged in care to link them to our physicians with the goal of full engagement in our model of care.
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Assesses patient need for transportation to and from appointments with primary providers. Coordinates with centers to schedule or assist patients with transportation for specialty appointments outside our centers based on their health plan policies.
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Assists patients and families with connecting to community resources, including help with applications for eligible programs such as Medicaid.
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Performs discharge phone calls within 24-72 hours post-discharge from the inpatient setting. (Hospital, SNF, Long Term Acute Care Hospital (LTACH) using post-discharge script explaining our services and obtaining consent for visits and uploading to patient’s chart.
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Communicate between the patient and discharge champion in the center to ensure the patient has a 4-day post-discharge appointment to see their Primary Care Physician (PCP).
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Works collaboratively and effectively within the team of Community Nurses and Community Social Workers on their visit schedule, maintaining excellent communication with Nurses and Social Workers while maintaining their schedule and calendar.
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Coaches patients in effective management of their chronic health conditions and self-care
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Motivates patients to be active, engaged participants in their health.
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Continuously expands knowledge and understanding of community resources, services, and programs provided; human relations and the procedures used in dealing with the public as part of a service or program; volunteer resources and the practices associated with using volunteers, operations, functions, policies, and procedures associated with the department or program area, procedures, and resources available to handle new, unusual, or different situations.
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Attends meetings and reports on patients as assigned.
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Performs other duties as assigned and modified at the manager’s discretion.
KNOWLEDGE, SKILLS AND ABILITIES:
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Competent-level business acuity
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Comprehensive knowledge and understanding of general/core job-related functions, practices, processes, procedures, techniques and methods
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Strong interpersonal and communication skills and ability to work effectively with a wide range of people in a diverse community with our values of Love, Accountability and Passion.
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Ability to work autonomously.
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Strong time management skills and ability to prioritize patient visits and tasks.
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Comfort working in fast-paced setting with a willingness to adapt to change.
•
Proficient in Microsoft office suite products including Word, Excel, PowerPoint and Outlook database and presentation software.
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Ability and willingness to travel locally to patient homes up to 50% of the time.
•
Spoken and written fluency in English (bilingual preferred)
EDUCATION AND EXPERIENCE CRITERIA:
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High School diploma or equivalent required.
•
Experience working with geriatric patients is a plus.
•
Established a track record of excellent data management skills.
•
A minimum of 2 years working in a healthcare setting with patient-facing responsibilities.
•
A minimum of 2 years working directly with a primary care physician in an outpatient setting is preferred.
•
Any combination of three (3) years of health/social services experience and/or education
•
Must possess a valid driver’s license with a verifiable good driving record and reliable transportation.
PAY RANGE:
$20.2 - $28.83 Hourly
Legal
The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.
We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care.
ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people’s lives every single day.
Hiring process
Current employees, if you want to apply to our internal career site, please click HERE
Current Contingent Worker please see job aid HERE to apply