Author Health serves Seniors and other adults with serious mental illness, substance use disorders, and dementia through comprehensive outpatient psychiatric treatment provided by a team of MDs, NPs, Licensed Clinical Social Workers (LCSWs) and RN case managers. Author Health’s services are integrated with primary care providers, health systems, sub-acute facilities and community based organizations. The Field-based Outreach Clinician is responsible for increasing engagement of eligible patients through direct outreach at those locations, working closely with clinicians, case managers, patients and caregivers to identify and overcome barriers to engaging in necessary health care and social services. This role is a blend of clinical coordination of care and direct patient and caregiver engagement - all with the goal of improving overall health, function and community tenure.
Field Based Outreach Clinicians are responsible for ensuring patient and caregiver engagement in care. We are seeking individuals with a Social Work, Public Health or RN background and experience working in diverse health care settings with people with chronic medical conditions and their families. Successful candidates must have an ability to work closely with patients and families with an empathic understanding of their needs and health and social related challenges. They also must be tenacious and creative to help overcome barriers to engaging in health care services - be it related to care coordination, health related social needs, and/or personal motivation.
WHAT IS YOUR SUPERPOWER?
- Attend local PCP offices, hospitals, and sub-acute facilities in person daily to meet with clinicians, case managers, and other staff to coordinate patient care, discharge planning, and identify health and social needs.
- Meet directly with patients and caregivers at those same locations and at home as indicated to form relationship, identify their priorities, and help remove barriers to them engaging in necessary health and social services
- Use skills such as motivational interviewing and therapeutic alliance to work closely with patients and caregivers in a longitudinal care relationship to ensure receipt of necessary health care and social services
- Schedule Author Health intake appointments and where necessary facilitate on-demand visits; address barriers to ensure that these intake appointments are completed
- Successfully meet and exceed monthly patient and caregiver engagement targets
- Respond to Health Information Exchange (HIE) alerts (real-time notifications related to hospital admissions, transfers, or discharges) and PCP appointment availability to meet patients and caregivers meet with patients and their caregivers in the hospital or other care facilities
- Communicate and provide education on the value of Author Health to Health systems, PCP groups, other community related organizations, patients and caregivers. In conjunction with local market leadership, build partnerships to expand the reach of outreach and engagement efforts.
- Keep accurate records of all community interactions and patient outreach outcomes
WHAT WE ARE SEEKING:
- Master’s Degree in Social Work, Public Health, or a related field or RN
- At least 2 years of experience in health care working with patients and caregivers with chronic medical conditions
- At least 2 years of experience supporting patients and caregivers to engage in necessary health care services with a demonstrated track record for meeting and exceeding goals
- Desire to work in an environment with clear goals and incentives for success and personal tenacity to achieve those targets
- Strong interpersonal skills to work closely with clinicians, case managers, patients and caregivers to coordinate care and ensure receipt of necessary health care and social services
- Working knowledge of multi-system outreach programs related to health care delivery and local community agencies and resources
- Strong organizational skills and verbal/written communication skills
- Possession of an unrestricted driver’s license and reliable access to transportation
- Willingness to travel up to 100 miles round trip per day with reimbursement from the company
- Familiar with Orlando territory
WHAT WE OFFER:
- Retirement savings plan (401k) Plan with up to 3.5% company match
- Mileage reimbursement
- Low cost comprehensive benefits package for employee and dependents ( medical/ dental/ vision/ STD/ Life Insurance)
- Generous paid vacation and sick leave
- 9 paid holidays throughout the year with (2) additional flex holidays, 11 in total!
- Performance-based bonuses
- And much more!
This behavioral health new company is committed to a diverse and inclusive workplace. It is the company’s policy to comply with all applicable equal employment opportunity laws by making all employment decisions without unlawful regard or consideration of any individual’s race, religion, ethnicity, color, sex, sexual orientation, gender identity or expressions, transgender status, sexual and other reproductive health decisions, marital status, age, national origin, genetic information, ancestry, citizenship, physical or mental disability, veteran or family status or any other basis protected by applicable national, federal, state, provincial or local law. The company’s policy prohibits unlawful discrimination based on any of these impermissible bases, as well as any bases or grounds protected by applicable law in each jurisdiction. If you need assistance or a reasonable accommodation during the application process because of a disability, it is available upon request. The company is pleased to provide such assistance and no applicant will be penalized as a result of such a request. In accordance with applicable legal requirements such as the San Francisco Fair Chance Ordinance Newco will consider for employment qualified applicants with arrest and conviction records.
