Patient Health Advocate (TOC)

Somatus, Inc.McLean, VA
Hybrid

About The Position

As a leading provider of outcomes-driven care for individuals and communities living with chronic conditions, Somatus is helping patients across the country enjoy More Healthy Days at Home™. Care at Somatus goes beyond treatment. Through a whole‑person approach, we deliver outcomes‑driven integrated care and show up #SomatusStrong for our patients and teammates. We partner closely with health plans, health systems, and provider groups to support patients with, or at risk of developing, cardio, kidney, metabolic, or other chronic conditions. We hire the brightest and boldest — talent driven by purpose and impact. Since our founding in 2016, our growth trajectory isn’t just a milestone — it’s a signal. Our leadership values culture and leads with intention as we remain dedicated to driving clinical excellence.

Requirements

  • Experience working with Medicare, Medicaid or Special Needs populations.
  • High school diploma or GED required.
  • Medical Assistant, Licensed Practical Nurse, Engagement Specialist or Community Health Worker experience.
  • Effective written and verbal communication skills demonstrating respect and cultural awareness during interactions with clients.

Nice To Haves

  • Experience working with patients with chronic medical and behavioral health needs.
  • Demonstrated success in working as part of a multi-disciplinary team including communicating and working with Physicians and Registered Nurses.
  • Proven experience with engaging patients in making healthy behavior changes.
  • Proven skills in navigating the health systems and making necessary linkages to meet specific needs.
  • Experience working with Electronic Medical Records and other documentation platforms.
  • Great motivator
  • Ability to connect with people and understand the challenges they face.
  • Ability to use a range of outreach methods to engage individuals and groups in diverse settings
  • Organized
  • Coach
  • Empathetic
  • Outgoing / positive personality
  • Well connected to the community and resources within the community they will serve

Responsibilities

  • Conduct outreach to members currently or recently in the inpatient setting to engage in the Somatus program and/or connect with a Transitions of Care RN to complete an assessment.
  • Coordinate care by serving as the advocate and resource for the patient, their family, and their provider(s).
  • Facilitate care across the continuum of care, spanning settings such as the home, hospital, skilled nursing facility, and acute care facility.
  • Assist patients during periods of transitions of care to facilitate effective transitions and minimize avoidable readmissions.
  • Assist members in scheduling appointments for follow-up post discharge from the inpatient setting with their provider.
  • Other duties as assigned

Benefits

  • Subsidized personal healthcare coverage: Medical, Dental & Vision, plus Wellness programs
  • Paid Time Off: Accrual of 3 weeks’ Vacation (PTO)
  • Professional development: CEU and tuition reimbursement
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