Care Management Coordinator
2 weeks ago
You're a collaborative professional, driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare don't deter you-instead, you see them as opportunities to find innovative solutions that benefit the partners, people, and communities we serve. Honest Health's commitment to purpose, innovation, communities, and kindness resonates with you, inspiring you to bring commitment, creativity, and compassion into your work. You're ready to join a team focused on reimagining primary care for a healthier future that benefits all.
Does this sound like you? If so, we should talk.
Who We Are
At Honest Health, we believe in purpose and partnership to lead the transformation in primary care. Our team of healthcare experts and clinicians collaborates with a range of stakeholders-from health systems, physician organizations, and payers to providers, practices, and patients - to deliver innovative solutions that elevate care, control costs, and support long-term health. Guided by our core values, we're creating a value-driven model that creates lasting benefits for everyone, now and into the future.
For us, that's just an Honest day's work.
Your Role
As a Care Management Coordinator, you will be a member of the patient's interdisciplinary care team and will assist fellow team members and patients and/or their families or caregivers to help achieve their health goals ensuring the highest quality of safe care delivery. You will help coordinate patients' treatment plans, and connect them with health care, community resources, and their providers. In this role, you will complete tasks and activities that support Honest Health's clinical programs, including care transitions and longitudinal care management.
Primary Functions Include:
- Establish trusting, supportive, and collaborative relationships with patients, family/caregivers, primary care practice staff, and the Honest interdisciplinary team (IDT).
- Build relationships with patients and/or caregivers telephonically and with internal and external care team members, including physicians, nurse practitioners, registered nurse care managers, social workers, pharmacists, transition of care coordinators, and other members of the IDT.
- Assist with the coordination of the patient's care across the continuum, including activities such as requesting records and scheduling appointments with specialists, coordinating referrals, connecting with community resources, sharing or transferring information with the patient's internal and external care team, retrieving records from the health information exchange, etc.
- Regularly monitor your assigned patients' progress, track care plan milestones, and partner with IDT members to adjust care strategies as needed to ensure desired health outcomes.
- Provide ongoing patient follow-ups and reassessments using care best practices and Honest guidelines to ensure continuity of care.
- Communicate with patients by phone, monitor adherence to patient specific goals and care plans or in-person and escalate to the IDT when necessary.
- Complete assessments with patients or caregivers (post-discharge, PHQ2/9, SDOH screenings, etc.)
- When needed, schedule Honest providers' home visits according to current practice. Complete reminder calls for scheduled home visits.
- Coordinate or create referrals for services or durable medical equipment, as directed by a registered nurse care manager or provider.
- Ensure annual wellness visits (AWVs) are scheduled within acceptable timeframes.
- Actively participate in Honest Health huddles and IDT meetings.
- Document and maintain accurate patient records and meeting minutes, as requested.
- Perform other related duties as assigned.
You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities.
- High school diploma or GED, required; Associates degree considered a plus
- Certified Medical Assistant (CMA) or Certified Nursing Assistant (CNA) or Health Coach Certification required
- Licensed Practical Nurse (LPN) certification preferred
- Prior work experience in a healthcare service environment required
- Prior experience with electronic health records or health registries required
- Prior experience working as part of an interdisciplinary care team preferred
- Prior experience communicating with and educating patients about their health goals and available resources
- Abe to learn new technologies and related processes and workflows, as well as contribute to process improvements when needed
- Strong Interpersonal communication skills with exceptional empathetic listening abilities
- Able to adapt with positivity
- Highly organized, able to prioritize work and multi-task
- Excellent telephonic, written, and verbal communication skills required
- Microsoft Office skills, including Excel, Word, PowerPoint, Outlook required, PowerPoint preferred
How You are Supported
- As a full-time team member, you will benefit from Honest's exceptional total rewards package, including competitive base pay with bonuses, paid time off starting at 4 weeks for full time employees, 12 paid holidays per year, reimbursement for continuing medical education, 401k with match, health, dental, and vision insurance.
- Family friendly policies that support paid parental leave and flexible work arrangements
- As a team member you'll be supported by our robust commitment to training and development that starts with onboarding and continues throughout your career with Honest.
- You will collaborate with like-minded healthcare professionals who, like you, understand the importance and value of Honest's high-quality, value-based, care model.
Honest is an equal opportunity employer that is committed to inclusion and diversity. We take affirmative action to ensure equal opportunity for all applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics.
Honest is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email talent@Honest-health.com for assistance. Reasonable accommodation will be determined on a case-by-case basis.
Honest Health values a secure and transparent recruitment process. We contact candidates through our official recruiting platform, email, or text message. When working directly with candidates, Honest Health will always use an HonestHealth.com or Honest-Health.com email address. Our hiring process includes a live phone call or in-person interview before any formal offer is extended.
To safeguard your personal information, Honest Health will never ask for confidential details-such as social security numbers, bank accounts, or routing numbers-before making a formal offer. We will also never request financial transactions, PINs, passwords, or security access details through email, text, Venmo, or any social media platform.
We encourage all candidates to verify the contact information of individuals they interact with during the recruitment process. If you have any questions about the authenticity of a communication, please reach out to our team at talent@honest-health.com.
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