Communicate to clients/patients the purposes of the program and the impact it may have on their wellbeing; help patients identify socio-economic issues that affect their overall health and develop health/social management plans and goals Responsible for assisting members in navigating the healthcare system by finding and following up by phone and in person with hard-to-reach members, helping members successfully participate in their medical and/or behavioral health care by overcoming barriers to care, and sharing information on barriers with IEHP and Providers to improve the home health team (HHT) Responsible for engaging with members, both in-person and on the phone, in a manner that utilizes evidence-based approaches (such as Motivational Interviewing) that promotes collaboration between the member and his or her medical/behavioral team, as well as to increase the member’s sense of control over their whole health Deliver information about health and wellness in ways that the community can easily understand and provide information on IEHP member benefits and services Provide advocacy on behalf of IEHP members in the home, the community, and in provider organizations Responsible for building and maintaining a positive working relationship with providers, including, but not limited to, communication via in-person, over the phone, and through digital means such as email and fax Responsible for assisting the HHT and providers to understand the culture, norms, beliefs and preferences of the members and their community by representing the voice of the community, helping to create messages and materials that fit community culture, and delivering these messages in a way that fits the culture of members Responsible for promoting a collaborative and effective working environment within the HHT by engaging in evidenced-based communication strategies when discussing responsibility/sharing of tasks, effectively resolving conflicts as they arise, and collaborating on member case discussions Collaborate on member care issues with other HHT members and consult with Nurse Care Manager and/or the Behavioral Health Care Manager before taking any action that is clinical in nature Model commitment to continuous quality improvement by engaging in quality improvement initiatives and projects, such as identifying and addressing HEDIS gaps, and by identifying, developing, and testing new practices for improving the outcomes of the HHT Ensure documentation is accurate, useful, and in compliance with regulatory requirements and accreditation standards
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED