Patient Care Advocate

Wellbe Senior Medical • Penn Hills, PA

89d

About The Position

The WellBe care model is a Physician Led Advanced Practice clinician driven geriatric care team focused on the care of the frail, poly-chronic, elderly Medicare Advantage patients. This population is typically underserved and very challenged with access to care. To address these problems, we have elected to bring the care to the patient, instead of trying to bring the patient to the care. Care is provided throughout the entire continuum of care – from chronic care and urgent care in the home, to hospital, to skilled nursing facility, to assisted living, to palliative care, to end of life care. WellBe's physician/advanced practicing clinician led geriatric care teams partner with the patient’s primary care physician to provide concierge level geriatric medical care and social support in the home as well as delivering and coordinating across the entire care continuum.

Requirements

• High school graduate or GED.
• MA Certification.
• 2+ years of patient-facing experience working for a healthcare practice or hospital.
• Current BLS card for healthcare providers or willingness to obtain.
• EMR documentation experience preferred.
• High level of professionalism.
• Strong customer geriatric focus/service skills.
• Strong computer skills, including Word, Excel, and PowerPoint.
• Strong verbal, written, presentation, and interpersonal communication skills.

Responsibilities

• Develop rapport and deliver exceptional in-home services to frail elderly patients.
• Coordinate care with the medical team and schedule patient appointments.
• Assist with specialist appointments and coordinate diagnostic tests.
• Engage patients who are currently not engaged and contribute complete and accurate data in patient records.
• Act as a community resource for patients.
• Complete support during Comprehensive Initial visits when needed.
• Manage patient medical records as appropriate.
• Complete drop-in visits for unengaged patients or open HEDIS gaps.
• Answer patient non-clinical questions and explain processes.
• Ensure all appropriate patient documentation for non-clinical summaries are in the EMR.
• Provide positive customer service and treat all patients and staff with respect.
• Collaborate with the interdisciplinary team and participate in regularly scheduled team meetings.
• Complete non-invasive patient screenings and testing.
• Clearly explain POCT to geriatric patients.
• Escalate patient clinical concerns to APP, CD, CMD.
• Support APP in ongoing panel management and quality of care efforts.

What This Job Offers

• Education Level: High school or GED
• Number of Employees: 251-500 employees