Job Description

Job Description

Job Description

The Health Navigator will understand the requirements and intent of the Highmark Commercial contract to effectively collaborate with the interdisciplinary care team to improve health plan member health outcomes and support Aledade’s population health initiatives

Primary Duties:

• Conduct direct telephonic outreach to health plan members based on outreach initiatives
• Completes social determinants of health screenings and facilitates access to community and/or health plan resources such as food, housing, mobility, energy assistance or other governmental programs in a closed loop referral process to ensure health plan members connection to services
• Engage health plan members in obtaining preventative screening and close care gaps
• Coordinates and documents including comprehensive tracking of health plan members’ adherence in relation to appointments, health screenings, care plan objectives, non-clinical assessments, encounters, service plans, and outcomes achieved in an effective manner
• Under the direction of the Senior Manager, Care Management and in collaboration with the primary care provider, assists health plan members in understanding care plans and instructions and provides support in developing healthier habits and proper use of the emergency room and providing information for alternatives
• Builds and maintains positive collaborative relationships with health plan members and caregivers, Providers, interdisciplinary care team members, and health plan representatives to deploy health engagement strategies and interventions

Minimum Qualifications:

• Familiarity with the healthcare community we are serving or commitment to learn and understand through networking, community assessment, etc. 
• Valid Delaware driver’s license required, excellent driving record and have reliable transportation.
• 1-3 yrs. of healthcare experience 
• Ability to assist the interdisciplinary care team to collaboratively plan, prioritize, implement, and evaluate individual community members’ plans 
• Experience working in a medical practice or healthcare setting is preferred 
• Experience & comfort using technologies such as a computer, telephone, and various types of electronic health record (EHR) platforms to document patient interactions and schedule patients for appointments 
• Medical Terminology certification is preferred 
• Must possess strong organizational skills
• Ability to work independently
• Proficient with Microsoft and Google applications
• Strong communication skills
• Strong motivational skills including conflict/dispute resolution techniques 
• Must have access to reliable high speed internet connection 
• Education: Associates Degree

Preferred Qualifications:

• Call center experience; Bilingual 
• Population health and/or managed care experience
• Understanding of quality metrics
• Knowledge and experience activating patients and teaching self-management skills
• Experience working with vulnerable populations (geriatrics, minorities, behavioral health)
• Ability to navigate ambiguity with the aid of structured problem-solving techniques
• Exceptional communication skills, both written and oral, ability to positively influence others with respect and compassion
• Strong work ethic built on a foundation of proactivity, collaboration, and teamwork
• Committed to the practice of inquiry and listening
• Competent documenting in electronic health records
• Demonstrates curiosity of learning and receiving critical feedback to further growth and development 

Physical Requirements:

• Sitting or standing for prolonged periods of time. Extensive use of computer, telephone, and keyboard. Occasional walking and lifting may be required.
• Ability to travel up to 50% as needed to office practices and staff retreats within Delaware and Maryland.

Who We Are:

Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.

What Does This Mean for You?

At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.

In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:

Flexible work schedules and the ability to work remotely are available for many roles

Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners

Robust time-off plan (21 days of PTO in your first year)

Two paid volunteer days and 11 paid holidays

12 weeks paid parental leave for all new parents

Six weeks paid sabbatical after six years of service

Educational Assistant Program and Clinical Employee Reimbursement Program

401(k) with up to 4% match

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And much more!

At Aledade, we don’t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.

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Job Tags

Contract work, Work at office, Remote work, Flexible hours,

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