ABOUT THE ROLE

Health Partners work closely with our Clinical Operations team to support integrated care for Daymark patients. Our Health Partners are responsible for care coordination, spending significant time visiting patients and their caregivers (over the phone, virtually over video, at our Hub, or in-home), helping patients navigate community-based and social services, coordinating medical care with both the internal Daymark team and external providers. 

This is a highly administrative role and in it you will schedule appointments for the patient and their caregiver with community services, their healthcare providers, or other specialists as needed. You’ll also guide referrals and make sure the right follow-up actions are taken. If patients need support connecting with providers or resources (e.g., transportation, financial grants, emotional support resources, medical equipment) you are responsible for getting it for them.   

By the end of your first month you will: 

• Receive patients from engagement and care teams and perform assessments and intake 
• Collaborate with RN Care Manager to determine need for patients placement in a different program (e.g., lower or higher intensity program) 
• Partner with the Clinical Operations team to develop patients’ care plans and participate in case conferences to ensure quality care delivery 
• Provide routine non-clinical education on preventative care topics to patients and address, respond to patients needs, delegate tasks in timely fashion and referral to care team if clinical interventions needed 
• Use our care facilitation, electronic health record and scheduling platforms as needed to collect data, document patient interactions, organize information, track tasks, and communicate with your team, patients, and community resources 

WHAT WE ARE LOOKING FOR 

• Experience.  You have at least 3 years of experience in community care or care coordination, bonus points if that was at a startup. You're comfortable driving to visit folks in the field. It's an extra plus if you are a licensed CNA, MA, CTPC/A, or HHA.  
• Comfort with Technology. You’re comfortable using Slack, Zoom, the Google Suite, and EHR systems to ensure accurate appointment scheduling and management and support patients virtually. 
• Bias to action: You don’t wait for someone to tell you what to do.  You know how to identify and prioritize your initiative’s needs and you do what it takes to ensure that urgent and important needs are acted on immediately. 
• Comfort with change and ambiguity: you may not always have direction in your work, and that’s OK, because you’re comfortable figuring out what needs to be done and a path forward. 
• Strong relational skills. You have an uncanny ability to establish rapport and work effectively with diverse populations including health care providers, clinical staff, patients, and family members. 
• Organized & Communicative. You are incredibly organized and sweat the details. You keep your team in the loop with what you’re working on and the challenges you’re facing and are proficient in collecting patient clinical and demographic data and documenting appropriately in a timely manner.  
• Open to working from Daymark's office: You're comfortable working out of our office in Providence, Rhode Island 5 days of the week, and visiting patient's homes whenever needed. 
• Bilingual: is a plus but is not required.