Patient Advocate

Patient Advocate

People are a company's greatest resource, which is why caring for employees and keeping them healthy is so important. Proactive MD offers a comprehensive health management solution that extends well beyond the clinic walls. Access to on-site physicians, full direct primary care services, and excellent client support are the hallmarks of our program. By engaging a workforce and offering them a personal relationship with a primary care physician, we can deliver measurably better outcomes, making people happier, healthier, and more productive while significantly lowering overall medical costs for employers. We put employees' health first because amazing care yields amazing results. We are the next generation of workplace health centers.

Clinic location: 1100 S. St. Francis Drive, Suite 1000, Santa Fe, NM 87505 Position Hours: Monday - Friday 8:00am to 5:00pm (onsite)

Job Summary

The mission of the Patient Advocate (PaD) is to facilitate and ensure continuity in patient care and serve as a conduit of care between the services of the health center and the community. The PaD will strategically engage employees and their dependents before, during, and after visits to the center in order to ensure we are providing personalized, informative, and compassionate care. The individual will work closely with the Vice President of Service Delivery, Account Manager, Medical Assistant, Provider, and Client HR Team.

Essential Duties and Responsibilities

Coordination of Care

• Under the direction of the Provider and Sr. Patient Advocate, the PaD will coordinate care with external specialists, labs, medical equipment providers, counselors, health classes, etc.
• Ensure electronic medical records are provided to Proactive MD's Provider following any specialist visit.
• Receive prior authorizations required by the insurance company for tests or procedures.
• Assist patients in navigating the healthcare system.
• Coordinate care when a patient is admitted and discharged from the emergency room or hospital. Ensure Proactive MD's Provider is included in the aftercare process.
• Visit hospitalized patients to ensure care coordination is directed by the Provider.
• Encourage and coordinate follow-up visits at the health and wellness center.
• Works in coordination with the on-site Provider to analyze data and develop outreach campaigns and educational resources. The PaD is responsible for the execution and success of these campaigns
• Represent the health and wellness center at internal and external meetings and events.

Patient Education

• Be knowledgeable about and provide information to patients regarding available community services that could enhance their care.
• Coordinate patient care and treatment plans; provide educational materials/consultation; follow up on patient well-being.

Reporting & Analytics

• Analyzes data to bring forth information as it pertains to population risk management. The PaD utilizes this data in collaboration with the Provider to develop outreach campaigns and outreach programs accordingly.
• Evaluate historical claims data; collaborate with physicians on clinical priorities; and develop programs, outreach campaigns, and educational resources that will encourage health and wellness center utilization.
• Assists with client relations. Generates and provides reports or documents for the Account Manager.

Required Knowledge, Skills, & Abilities

Required:

• 2+ years of experience working in a healthcare setting, Medical or Healthcare Social Work in a similar setting, or Case Management role
• Bachelor of Social Work Degree
• Knowledge of the concepts and principles of case management
• Ability to communicate effectively and maintain working relationships with people from diverse backgrounds
• Knowledge of the healthcare industry and available patient resources
• Knowledge of payors
• Ability to prioritize needs and plan work accordingly
• Knowledge of HIPPA confidentiality requirements

Proactive MD is firmly committed to creating a diverse workplace and is proud to provide equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, gender identity and/or expression, sexual orientation, ethnicity, national origin, age, disability, genetics, marital status, amnesty status, or veteran status applicable to state and federal laws.