remote type
Fully Remote
locations
Allina Commons
time type
Full time
posted on
Posted 7 Days Ago
job requisition id
R-0039112
Number of Job Openings Available:
2
Date Posted:
February 13, 2023
Department:
23007305 System CM AXIS Ucare
Shift:
Day (United States of America)
Shift Length:
Hours Per Week:
40
Union Contract:
Non-Union
Weekend Rotation:
None
Job Summary:
Collaborates with the care team serving as the central facilitator to patients. Develops and maintains a relationship with the patient and utilizes this relationship to further the patient’s medical and non-medical goals. Applies critical thinking skills in order to uncover barriers, develops patient-driven goals, guides and coordinates care according to a care plan, uses behavior change techniques to reinforce and support the plan, partners with care team to improve quality of care and health outcomes for patients and documents in the electronic medical record.
Key Position Details:
primary responsibility of care guide will be member outreach and engagement efforts but will likely include community visits within service area
Job Description:
Principle Responsibilities
Acts as the central facilitator to patients supported by the care team.
Transitions and supports patient through all stages of care.
Maintains and documents ongoing communications with patients and care team.
Collects and maintains patient data and reports to facilitate care.
Communicates with patients, families and providers to maintain coordination of care.
Identifies and facilitates resolution to barriers.
Identifies barriers the patient may have to meeting health care goals and communicates with care team.
Assists patients in determining resources within system and the community.
Ensures connections were made and ongoing needs are met.
Develops patient-driven goals and support patients care.
Works with patients to develop medical and no-medical goals.
Reinforces provider and care team communication about plan of care.
Engages family and/or friends to support care and goals.
Supports medication and treatment adherence as needed.
Uses electronic medical record and other electronic tools for data gathering and interpretation.
Incorporate appropriate behavior change techniques to empower patients to be active participants in their health.
Utilizes motivational interviewing techniques.
Provides behavior change mentorship to other team members or care guides as needed.
Other duties as assigned.
Job Requirements
Must be 18 years of age with education and/or experience needed to meet required functional competencies as listed on the job description, and High school diploma or GED preferred
Bachelor’s degree in health care preferred
0 to 2 years of experience in customer service, health care or community-based role required
Valid Driver’s License for some departments upon hire required
Physical Demands
Sedentary:
Lifting weight Up to 10 lbs. occasionally, negligible weight frequently