Health Partner

Banner Health•Phoenix, AZ
•$31 - $52•Hybrid

About The Position

The Health Partner serves as a trusted resource and advocate for Banner Aetna members, providing personalized outreach and support to improve health outcomes and well-being. The role manages members with high-risk, chronic complex, rising-risk, and acute conditions in delegated populations, acting as a main point of contact for members and providers across care settings. It provides comprehensive care coordination, primarily supporting members in home-based settings, and works with multidisciplinary teams to coordinate resources and services that address members’ healthcare needs. The Health Partner supports members throughout the care continuum by assessing needs, developing and monitoring care plans, promoting self-management, and helping members navigate the healthcare system. The role uses motivational interviewing and evidence-based interventions, coordinates with providers and payers, documents member progress, and supports timely, coordinated care. This is a hybrid position in the Phoenix metro area, with a Monday–Friday, 8:00 a.m.–5:00 p.m. schedule. Travel throughout the greater Phoenix area is required 2–3 times per month, and candidates must reside in Arizona.

Requirements

  • Master’s degree in social work or a related degree.
  • Knowledge of managing and coordinating care for members with chronic complex disease processes, typically gained through two or more years of experience related to complex conditions in acute care, behavioral health, and/or case management.
  • Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW), or an equivalent social work license in states that do not recognize the LMSW; candidates must have a master’s degree and be a Licensed Social Worker.
  • Two years of experience directly related to case management in health plan, management, or quality.
  • BLS certification is required for programs embedded in a clinical setting or involving member community or home visits.
  • Highly developed interpersonal and critical-thinking skills, including the ability to rapidly prioritize needs.
  • Ability to communicate clearly with diverse audiences verbally and in writing, and to promote change among members.
  • Ability to coordinate information and activities, work under deadline pressure and frequent interruptions, and apply analytical problem-solving skills.
  • Excellent organizational, human-relations, and communication skills.
  • Computer literacy, keyboarding skills, proficiency with system office applications, and a basic understanding of integrated clinical systems.
  • Must reside in Arizona and be willing to travel throughout the greater Phoenix area 2–3 times per month.
  • For off-site travel, must provide personal transportation, possess a valid driver’s license, and be eligible for coverage under the organization’s auto insurance policy.

Nice To Haves

  • Certification from a nationally recognized healthcare organization, such as CCM.
  • Additional related education and/or experience.

Responsibilities

  • Manage members across the healthcare continuum to support optimal clinical, financial, operational, and satisfaction outcomes.
  • Coach members on disease-related symptom management and lifestyle choices, and provide monitoring, education, and support for care-plan adherence.
  • Provide self-management support, including promoting healthy behaviors, developing problem-solving skills, supporting members emotionally, and encouraging active participation in care.
  • Use motivational interviewing to support lifestyle changes and member participation in case management programs.
  • Build collaborative relationships with physicians, payers, and other members of the healthcare team; communicate timely and relevant information to support utilization and regulatory requirements.
  • Help bridge gaps between members and clinical teams by following up, identifying needs and obstacles, and addressing health-literacy, cultural, and social barriers.
  • Meet and accompany members and families to initial appointments and conduct in-home assessments as needed.
  • Connect members with resources, facilitate support, and empower them to navigate the healthcare system.
  • Educate internal healthcare team members on case management and managed care concepts and facilitate their integration into daily practice.
  • Coordinate and clarify information with healthcare providers, staff, members, families, and external organizations; synthesize and prioritize information from multiple sources.
  • Contribute to quality improvement and member outcomes, including participation in professional organizations and relevant workgroups.
  • Provide assessments and interventions within scope of practice, and participate in research activities when applicable.
  • Participate in education, role development, orientation, precepting, and mentoring as appropriate.
  • Complete assessments and reassessments according to member needs, policy, and accreditation standards.
  • Document assessments, planning, interventions, education, care coordination, and member progress accurately and promptly in the member record.
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