Who we are: Gather Health delivers Social Primary Care to older adults. Through our unique and differentiated care model and proprietary technology, Gather Health’s solution drives substantial care outcomes by addressing the whole person needs of our target demographic: older, dual eligible adults, the fastest growing government segment. To address the needs of these clinically and socially complex patients, Gather Health’s Social Primary Care solution is comprehensive and wholistic in nature, encompassing care and community within the four walls of Gather Health Centers and in the homes of its patients. Gather’s model achieves superior care by individualizing care and is reinforced by a three-prong approach: a unique care model quarterbacked by PCPs and supported by multi-disciplinary care teams, tailored Social Care Plans that are led by Gather Guides and facilitated by deeply rooted community partners, and a proprietary “Tech Enabled Home Model.” Founded in 2022 and born out of the Healthcare Foundry Portfolio, Gather Health is addressing a $1 trillion market in primary care for older adults. Today, Gather Health operates in Massachusetts and is working with a multitude of payer partners on aligning value-based care economics to deliver integrated care. Gather’s leadership team has a track record of building and scaling innovative primary care platforms focused on vulnerable populations, including VillageMD and Commonwealth Care Alliance. Gather has raised $30M backed by Maverick Ventures, Khosla, and HC9 Ventures. About this Opportunity This clinic-based role will include responsibilities for reducing unnecessary hospital utilization by providing proactive outreach to patients and triaging incoming clinical concerns. training our clinical staff, comprised of Medical Assistants (MAs), Emergency Medical Technicians (EMTs), and Paramedics, in addition to process development. Some of the day-to-day duties will include but are not limited to: Support Acute Care PCP Address incoming alerts from remote patient monitoring devices and and patient self-reported needs to ensure patients are safe at home Provide telephone calls to patients who have been in the hospital to assess stability and safety upon discharge home and schedule primary care follow up with a Gather team member. Triage intake for incoming patient calls and transfer to next appropriate level of care Review clinical inbox cases as assigned and follow up with patients or Gather team members to address concerns Escalate clinical concerns to medical control provider Additional duties as assigned
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Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
1-10 employees