Patient Advocate

Proactive MD•Santa Fe, NM

4d•Onsite

About The Position

People are a company's greatest resource, which is why caring for employees and keeping them healthy is so important. 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. 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.

Requirements

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

Responsibilities

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.
Assist patients in navigating the healthcare system.
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.
Analyze data and develop outreach campaigns and educational resources in coordination with the on-site Provider. 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.
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.
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.
Assist with client relations. Generate and provide reports or documents for the Account Manager.