Patient Health Advocate

4 weeks ago


Merrillville, United States Somatus, Inc. Full time

Overview:
As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home.

It takes a village of passionate and tenacious innovators to revolutionize an industry and support individuals living with a chronic disease to fulfill our purpose of creating More Lives, Better Lived. Does this sound like you?

Showing Up Somatus Strong

We foster an inclusive work environment that promotes collaboration and innovation at every level. Our values bring our mission to life and serve as the DNA for every decision we make:

- ** Authenticity**:We believe in real dialogue. In any interaction, with patients, partners, vendors, or our teammates, we are true to who we are, say what we mean, and mean what we say.
- ** Collaboration**:We appreciate what every person at Somatus brings to the table and believe that together we can do and achieve more.
- ** Empowerment**:We make sure every voice gets heard and all ideas are considered, especially when it comes to our patients’ lives or our partners’ best interests.
- ** Innovation**:We relentlessly look for ways to improve upon the status quo to continuously deliver new solutions.
- ** Tenacity**:We see challenges as opportunities for growth and improvement — especially when new solutions will make a difference for our patients and partners.

Showing Up for You

We offer more than 25 Health, Growth, and Wealth Work Perks to help teammates learn, grow, and be the best version of themselves, including:

- Subsidized, personal healthcare coverage (medical, dental vision)
- Accrual of 3 weeks’ Vacation (PTO)
- Professional Development, CEU, and Tuition Reimbursement
- Curated Wellness Benefits supporting teammates physical and mental well-being
- Community engagement opportunities
- And more

**Somatus offers a Hybrid Telehealth environment with a combination of remote days and visits to members’ homes.**

This position will be focused on high needs Chronic Kidney Disease (CKD) and End-Stage Kidney Disease (ESKD) populations that face multiple challenges, from accessing resources to adhering to a physician’s treatment plan. The CHW-Patient Advocate will work as an extension of the clinical care team, specifically under the guidance of RN Care Manager and act as an advocate guiding them through their care needs. The individual taking this role will manage his/her caseload through in-person, telephonic and electronic means of communications and coordination. The Patient Advocate will be the first and primary representative of Somatus to our members. He/she will be the key holder of the patient relationship and trust and will be responsible for building this relationship. He or she will be tasked as the person that schedules the initial wellness exam and care management assessment meeting with Somatus clinicians. After an individual care plan is developed, will be the person that facilitates connecting and scheduling the many resources within and beyond Somatus to the patient (including the various members of our care team as well as PCPs, Nephrologists, etc.). The Patient Advocate will also be involved in the community to “plug in” the patient with others and help facilitate their overall wellbeing. This position is a market-based position.

**Responsibilities**:

- Works under the guidance of physicians and/or a nurse care manager.
- Follow-up with health management plans and goals.
- Establish positive, supportive relationships with participants and provide feedback.
- Conduct an initial triage assessment to help align patients with the most appropriate program in
accordance with program guidelines.
- Documents their activities in the care coordination platform, including care plan activities conducted.

Engages with patients who need assistance with self-care needs in addition to what a nurse care manager can provide via phone, such as:

- Address language and cultural barriers to care management and self-care.
- Coach and guide the patient to meet both personal and clinical goals.
- Schedules provider appointments on behalf of their patients.
- Accompanies patients to their appointments when needed.
- Reminds patients of their upcoming appointments.
- Helps patients access community and government-based services, including possibly filling out paperwork for the patient.
- Helps to teach the caregiver about symptom response plans.
- Arranges transportation.
- Facilitates closing gaps in care by educating patients about preventive monitoring and working with physician practices to schedule diagnostic testing.
- Assists patients with enrolling to access educational videos.
- Participates in the integrated care team meetings.
- Act as the patient advocate and support the member through their patient journey starting with initial outreach.
- Conduct telephonic outreach to members within designated geographic area to introdu


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