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Patient Health Advocate

Company: Providence Health & Services
Location: Mission Hills
Posted on: June 12, 2021

Job Description:

Providence is calling a Patient Health Advocate (Full time/Day shift) Providence Facey Medical Foundation in Mission Hills, CA.

Apply Today! Applicants that meet qualifications will receive a text with some additional questions from our Modern Hire system

We are seeking a Patient Health Advocate who will coordinate care for high risk, high utilizing patients. The Health Advocate supports the quadruple aim for population health management as an extension of the trusted Primary Care Provider to promote the patient centered medical home. The Health Advocate is part of a larger Care Management team. Primary focus areas for the Health Advocate is evaluating for social determinants of health, identifying alternate sites of care, enhancing patient access to urgently needed services, ensuring that patients understand their care plans, facilitating care outreach of transitions of care, and in partnership with ambulatory Care Managers, longitudinally following high risk patients to help reduce the burden of care. Assists in closing care gaps and identifying barriers to care. Provide patients with internal and external resources to help coordinate care.

In this position you will:

  • Assist in patient care management by identifying high risk patients in need of ongoing care management and support Providers and Care Managers with urgent care coordination needs
  • Actively participate in the planning, preparation and data collection on high risk patients. Anticipate the needs of assigned patient population
  • Promote successful program implementation and quality cost-effective outcomes within the scope of responsibility. Maintain technical and behavioral competency requirements within scope of practice. Demonstrate initiative for self-improvement and complete required competencies
  • Participate as a team member and communicates effectively with the health care team. Participate in staff meetings and other interdisciplinary meetings
  • Identify internal and external resources and connects patients to resources for effective care coordination. Assist patients in navigating complex health systems and insurance plan coverage
  • Perform transition of care calls in a timely manner to prevent readmissions and ED visits
  • Review reports/lists of rising risk and high risk patients with care gaps and intervenes in a timely manner to prevent further decompensation and utilization. Escalate complex clinical cases to Providers and Nurse/Social Work Care Managers for clinical management
  • Demonstrate excellent communication skills. Communicate with patient/family in a clear, concise, and understandable manner. Ensure patients and caregivers understand the patient's care plan and utilizes techniques such as motivational interviewing to help prioritize and support the patient's goals. Obtain confirmation that information given to patient/family was understood
  • Help to facilitate appointment scheduling, test/surgeries, and coordination of care. Ensure patient follow-through of urgent/important appointments and works to remove barriers for non-compliance
  • Document patient's concerns and symptoms, reactions, and change (appropriate to age) in the electronic medical record. Relay and escalate information to Providers, Care Managers, and other care team members in an accurate, concise, and timely fashion, ensuring follow-through by clinically licensed staff on symptom-based issues
  • Follow-up with patients/caregivers, ensuring that the patient/caregiver receives care plan updates, results of laboratory and diagnostic tests, special test instructions, and other information in a timely manner
  • Coordinate communication and transactions between patient, ancillary services, consultants, and physicians
  • Coordinate authorizations required by insurance
  • Create the necessary care management reports timely and accurately
  • Work with Utilization Management and insurance companies, as necessary, to assist patient
  • Assist in closing care gaps and Identifying barriers to care
  • Age-Related Competencies:
  • Human Development Knowledge/Skills
  • Demonstrate the appropriate knowledge and skills necessary to provide care appropriate to the age of the patients served including knowledge of the principles of growth and development and psychosocial characteristics and interventions for age specific requirement of the assigned unit
  • Age-specific patient needs that employee is required to understand and meet:
  • Demonstrate competence in assessing and interpreting age appropriate data about the patient's status in order to identify age-specific needs and provide the care needed
  • Additional Requirements:
  • Demonstrate the appropriate communication skills for the patient population served. Demonstrate knowledge of age-specific community resources
  • Information Management:
  • Treat all information and data within the scope of the position with complete confidentiality and security. Maintain all practices to protect PHI and follows to HIPAA guidelines
  • Risk Management:
  • Cooperate fully in risk management activities and investigations
  • Safety Requirements:
  • Is knowledgeable of, observes and complies with Codes of Safe Practice, safety policies and emergency procedures

Required qualifications for this position include:

  • H.S. Diploma or GED
  • Graduate of a State recognized vocational school or Medical Terminology coursework: Working knowledge of Medical Terminology
  • Current BLS (Basic Life Support) for Healthcare Providers - American Heart Association (AHA)
  • 5 years related work experience in an acute care or ambulatory care facility and/or medical group practice
  • Basic computer skills in a Windows operating environment including, Microsoft Word and ability to learn various new computer systems and software
  • Excellent communication skills
  • Has completed coursework or has working knowledge of medical terminology
  • Knowledge of sanitation, personal hygiene and basic health/safety precautions applicable for work in a clinic setting. Knowledge of infection control procedures and safety precautions
  • Knowledge of computer systems and software used in functional area
  • Ability to speak and write effectively at a level appropriate for the job
  • Ability to solve problems and identify solutions
  • High-level customer service skills in interactions with all patients, families, and staff, including high volume and stressful situations
  • Ability to plan, organize, prioritize, work independently and meet deadlines
  • Ability to work as a contributing member of an interdisciplinary team
  • Ability and willingness to travel between Ministry Locations

Preferred qualifications for this position include:

  • Associate's Degree in a related field
  • Bachelor's Degree in a related field
  • MA certificate
  • Current LVN license in State of California
  • Managed care experience
  • EPIC, Allscripts Enterprise, and/or IDX experience highly desirable
  • Proficient in all Microsoft Office applications including Word and Excel
  • Bilingual English/Spanish communication skills

About the organization you will serve:

Facey Medical Group is a multi-specialty medical group with over 160 physicians providing care to the growing population in the North & East regions of Los Angeles & Ventura Counties. Twelve medical clinics, including two urgent care centers and dedicated women's centers, are located across the San Fernando, Santa Clarita, San Gabriel and Simi Valleys. The group began as a single medical practice over 90 years ago. Facey is part of Providence Health & Services, an integrated, not-for-profit 5-state network of hospitals, care centers, medical clinics, affiliated services and educational facilities spanning from California to Alaska.

Keywords: Providence Health & Services, Los Angeles , Patient Health Advocate, Other , Mission Hills, California

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