575 Health Advocate jobs in the United States

Position Summary:

The Behavioral Health Advocate will provide assessment, safety planning, supportive counseling, and mental health and substance use disorder treatment advocacy for survivors of domestic violence, human trafficking, and other victims of crime. The Advocate will facilitate support groups in the community, specializing in individuals with mental health and substance use concerns.

Job Specifications/Qualifications: (Min. knowledge, skills, and abilities required)

Education/Training/Experience: 0H.S. Degree 1 College Degree* 0 Certification/License*

Master's degree from an accredited university or college in the field of counseling, social work, psychology, rehabilitation, special education or in a related human services field; or hold a Bachelor's Degree from an accredited university or college in the field of counseling, social work, psychology, rehabilitation, special education or in a related human services field and have two years' experience working with (eg. assessing, counseling, treating) individuals (adult/children) with serious emotional disturbance or substance abuse problems;

Two (2) years of experience working in the domestic violence field and Florida States Attorney's Office preferred

Competency-based Core training (30 hours) within 90 days of employment required.

Technical or Administrative Knowledge:

Computer skills, including Word, Excel, and PowerPoint, are required.

Special Skills and Abilities:

Organizational and communication skills; ability to work collaboratively with others; valid driver's license and transportation; demonstrated ability to work with people in crisis.

Physical Requirements and Working Conditions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations that do not cause an undue hardship on the company may be made to enable individuals with disabilities to perform the essential functions, as long as that would not hinder or prevent performance of duties or be of a safety concern.

Key to denote % of time requirements necessary to perform essential functions of this job.

0% = Zero (O) 1-35% = Little (L) 36-70% = Moderate (M) 71-100% = Great (G)

- Physical Requirements: 0 Light: Lifting 0-10 lbs. 1 Moderate: Lifting 11-25 lbs. 0 Heavy: Lifting 25+ lbs.

L - Lifting

L - Operating motor vehicle

M - Reaching above/below the waist

M - Pushing/pulling movements

M - Standing

M - Kneeling

M - Sitting

M - Walking

M - Bending/stooping

M - Climbing stairs / ladders

M -Typing

M - Color / Depth perception

M - Fine hand & finger movements

M - Operate various equipment

- Working Conditions and Schedules:

O - Exposed at times to fumes or airborne particles, toxic or caustic chemicals, extreme heat, risk of electrical shock, and vibration.

L - Exposed to various noise levels (L= private office, M= showroom/service area, G= jackhammer/metal works/heavy equipment)

L- Working environment: non-private, varies from outside open parking lot, to showroom, to cubicle workspace, to adaptive office.

M - Available to works nights, weekends and holidays.

G - Interacting with co-workers, vendors, and customers.

G - Office machines, phones, fax, computers, postage meter, etc.

- Necessary traits for this position: 1 Seeing 1 Hearing 1 Talking* 1 Reading* 1Writing*

0 Basic comprehension of English language using the traits* marked above for purposes of safety, management direction and job responsibility, and minimal third-party interaction.

1 Proficiency of the traits* marked above in the following languages for business letters, memos, customer interaction, presentations, demonstrations, employee direction, audits, etc.: 1English 0Spanish 0French 0Other ___

Job Functions, Unique Duties and Responsibilities:

Essential Functions include but are not limited to the following:

General
• Follow the administrative guidelines and policies
• Maintain a community image consistent with the mission
• Engage in a relationship with the team which is proactive, mutually beneficial, fosters teamwork, and advances the mission
• Exercise due care and stewardship of resources, including equipment, food, money, volunteer, and staff time
• Oversee the general physical environment for health, safety, and proper maintenance of facilities

Advocacy and Case Management
• 60% Provide comprehensive case management, focusing on behavioral health, which includes providing information about crime victims' rights, crisis stabilization, safety planning, law enforcement and victim advocacy, assisting in securing stable housing, assisting in identifying and securing employment, and service planning in support of recovery and self-sufficiency
• 13% Develop, manage, and facilitate support groups as needed, focusing on individuals with mental health and substance use concerns.
• 12% Provide referrals to local community partner agencies.
• 5% Answer the hotline.
• 2% Be familiar with mental health/substance use screenings and assist with TBI screenings at intake.
• 1% Collaborate with community agencies specializing in mental health and substance use treatment.
• Providing individual, group and family therapy
• Coordinating and implementing behavioral health programming associated with the treatment plan and with the recipient's performance plan;
• Monitoring the overall course of treatment services and observing and documenting direct care staff's implementation of the recipient's individualized treatment plan
• Develops and assists in individualized discharge planning for the residents by utilizing treatment team and written chart information to determine residents' aftercare needs;

Program Support
• 1% Regularly update team members regarding resource listings and the status of participants.
• 1% Update participant files weekly.
• 1% Collect, organize, and enter data into appropriate formats for the WS database and other databases weekly.
• 1% Develop self-knowledge of issues domestic violence, laws, policies, and case histories.
• 1% Participate in training opportunities including: the mandatory 24-hour DCF Core Training and 6 shadowing hours to be registered for confidentiality and privilege; maintain 17 hours of domestic violence training per year.
• 1% Attend staff meetings and local community meetings.
• Training of direct care staff in the implementation of the individualized treatment plan for behavioral health overlay services;
• Attends regular treatment team meetings to provide therapists perspective to total case management of the resident by reading and discussing written progress notes from charts and communicating any state or local agency legal requirement for case management with the interdisciplinary team. Monitors overall course of treatment services;

Advancement/Community Relations:
• Collaborate with other organizations and groups within the community to build partnerships and enhance fundraising activities.
• Assist in planning and coordinating events meant to raise funds (sanctioned events, community events, etc).
• Provide staff support at events, as needed.

Other
• 1% Assist with other duties as assigned.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

Job Type

Full-time

Description

BEHAVIORAL HEALTH ADVOCATE (Non-Exempt Employee)

Purpose of Job:

To improve the quality of behavioral health in West Virginia

Work Environment:

Work performed in the office setting, in behavioral health facilities, and in the community.

Essential Job Functions:

1. Monitoring facility compliance with federal and state laws and regulations guaranteeing consumers' rights.
2. Monitoring the implementation of treatment as defined by the consumers' individualized treatment plan.
3. Reviewing each use of seclusion and restraint with appropriate documentation and record keeping of same.
4. Providing information to consumers about their rights and the mechanisms for participating in treatment and for complaining of violation of patient rights.
5. Providing education to staff regarding patient rights, the patient grievance procedure and staff responsibilities for protecting and assisting consumers in the exercise of their rights.
6. Assisting consumers in the formal and informal resolution of complaints.
7. Assisting consumers in obtaining counsel and access to external advocacy when this is appropriate.
8. Advocating on behalf of consumers or groups of consumers where rules or practices of private or governmental entities are interfering with their rights or creating barriers to appropriate, equal or humane services for consumers.
9. Advocating with respect to program eligibility, access to services, guardianship, community placements, and securing public benefits.
10. Performing duties as outlined in the Hartley decision and Legislative Rule 64 C.S.R. 59, 64 C.S.R 74, or other policies relating to the investigation of abuse or neglect.
11. Keeping detailed records regarding client complaints, investigations, grievances, both formal and informal, and resolution of the same.
12. Maintaining all records and information relating to consumers and to investigations in a strictly confidential manner.
13. Adhering to state and federal and professional laws, regulations, rules, policies and standards for advocacy services.
14. Documenting all activities in a thorough and accurate manner and maintaining files according to a protocol.
15. Providing written reports regarding activities.
16. Participating in training as scheduled by the project supervisor and keeping informed of changes in law or policy affecting job responsibilities.
17. Participating in case/activity review conferences as requested by the project supervisor.
18. Maintaining a respectful and professional attitude toward consumers, facility staff, community behavioral health center staff, professionals, community members, and co-workers.
19. Assuming other responsibilities as assigned by the executive director or the project supervisor.

Resignation Requirement:

All behavioral health advocates must give the Employer four (4) weeks written

notice of their intent to cease employment with LAWV.

Supervisor:

Behavioral Health Advocacy Project Director

Other Duties:

1. The statements contained in this job description reflect general details necessary to describe the principal functions of this job, the level of knowledge and skill typically required, and the scope of responsibility. It should not be considered an all-inclusive listing of work requirements. Individuals may perform other duties as assigned, including work in other functional areas to cover absences or relief, to equalize peak work periods or to otherwise balance the workload; subject to the ethical considerations created by the individual's existing caseload. Behavioral Health Advocates shall not be required to directly solicit funds.
2. Behavior Health Advocate will work with their supervisor to develop goals within program priorities and funding; and will work with their supervisor to identify individual training needs.
3. Behavior Health Advocates will timely prepare reports and complete forms and records necessary for client services or administrative tasks related to job. All Behavioral Health Advocates will account for 100% of their actual time work in and using LAWV Case Management System on a bi-weekly basis.

Requirements

Hiring Qualifications:

1. Must demonstrate a commitment to understanding and addressing issues of adults with a mental/behavioral health diagnosis.
2. Must have a four-year degree or equivalent experience.
3. Must have skills to use office technologies, including learning LAWV case management software.
4. Must be able to balance administrative and client advocacy responsibilities.

Physical Requirements: While performing the duties of this job, the employee is frequently required to stand; walk; sit; use hands to finger, or handle, objects, tools, controls or equipment; reach with hands and arms; talk or hear; drive. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, and the ability to adjust focus. The physical demands described above are representative of those that must be met by an employee to successfully perform the essential functions of this job. In accordance with the Americans with Disabilities Act, reasonable accommodation will be made to enable individuals with disabilities to perform the essential functions and physical requirements.

Salary Description

$29,452 - $35,375 annually

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 inaccordance 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 introduce the Somatus program and encourage enrollment to build their patient caseload.
+ Conduct door-to-door engagement outreach for patients with telephonic barriers.
+ Support NP and RNCM care team members through facilitating in home telehealth visits with patients.
+ Utilize motivational interviewing techniques to encourage patients to make behavioral changes.
Measures of Success
+ Patient Engagement
+ Care Setting Transitions
+ Assessment
+ Monthly Goal completion as set by the RNCM
+ Patient Success - as measured by no/reduced hospital or ER visits on a monthly basis
Qualifications
Required
+ Experience working with Medicare, Medicaid or Special Needs populations.
+ Medical Assistant, Licensed Practical Nurse, Engagement Specialist or Community Health Worker Experience.
+ Ability to connect with people and understand the challenges they face.
+ Ability to use a range of outreach methods to engage individuals and groups in diverse settings.
+ Well connected to the community and resources within the community they will serve.
+ Effective written and verbal communication skills demonstrating respect and cultural awareness during interactions with clients.
+ Ability to travel throughout the assigned region and comfort with conducting home visits (50-75% same day travel).
+ Great motivator
+ Organized Coach
+ Empathetic
+ Outgoing / positive personality
Preferred
+ Experience working with patients with chronic and behavioral health needs.
+ Demonstrated success in working as part of a multi-disciplinary team including communicating and working with Physicians and Registered Nurses.
+ Proven experience with engaging patients in making healthy behavior changes.
+ Proven skills in navigating the health systems and making necessary linkages in order to meet specific needs.
+ Experience working with Electronic Medical Records and other documentation platform.
**Wage Range**
**$22 to $25 per hour**
_Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience and may fall outside of the range shown_
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Our priority is the health and safety of our members, colleagues, partners, and community. Proof of COVID-19 Vaccination is required for employment. If you are unable to be vaccinated for medical reasons or sincerely-held religious beliefs, we will consider requests for reasonable accommodations consistent with our policy, and where we are able to provide such accommodations without undue hardship to the company pursuant to applicable law.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Somatus, Inc. provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. Further, the company takes affirmative action to ensure that applicants are employed, and employees are treated during employment without regard to any of these characteristics. Discrimination of any type will not be tolerated.
IND1

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 inaccordance 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 introduce the Somatus program and encourage enrollment to build their patient caseload.
+ Conduct door-to-door engagement outreach for patients with telephonic barriers.
+ Support NP and RNCM care team members through facilitating in home telehealth visits with patients.
+ Utilize motivational interviewing techniques to encourage patients to make behavioral changes.
Measures of Success
+ Patient Engagement
+ Care Setting Transitions
+ Assessment
+ Monthly Goal completion as set by the RNCM
+ Patient Success - as measured by no/reduced hospital or ER visits on a monthly basis
Qualifications
Required
+ Experience working with Medicare, Medicaid or Special Needs populations.
+ Medical Assistant, Licensed Practical Nurse, Engagement Specialist or Community Health Worker Experience.
+ Ability to connect with people and understand the challenges they face.
+ Ability to use a range of outreach methods to engage individuals and groups in diverse settings.
+ Well connected to the community and resources within the community they will serve.
+ Effective written and verbal communication skills demonstrating respect and cultural awareness during interactions with clients.
+ Ability to travel throughout the assigned region and comfort with conducting home visits (50-75% same day travel).
+ Great motivator
+ Organized Coach
+ Empathetic
+ Outgoing / positive personality
Preferred
+ Experience working with patients with chronic and behavioral health needs.
+ Demonstrated success in working as part of a multi-disciplinary team including communicating and working with Physicians and Registered Nurses.
+ Proven experience with engaging patients in making healthy behavior changes.
+ Proven skills in navigating the health systems and making necessary linkages in order to meet specific needs.
+ Experience working with Electronic Medical Records and other documentation platform.
**Wage Range**
**$22 to $25 per hour**
_Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience and may fall outside of the range shown_
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Our priority is the health and safety of our members, colleagues, partners, and community. Proof of COVID-19 Vaccination is required for employment. If you are unable to be vaccinated for medical reasons or sincerely-held religious beliefs, we will consider requests for reasonable accommodations consistent with our policy, and where we are able to provide such accommodations without undue hardship to the company pursuant to applicable law.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Somatus, Inc. provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. Further, the company takes affirmative action to ensure that applicants are employed, and employees are treated during employment without regard to any of these characteristics. Discrimination of any type will not be tolerated.
IND1

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 inaccordance 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 introduce the Somatus program and encourage enrollment to build their patient caseload.
+ Conduct door-to-door engagement outreach for patients with telephonic barriers.
+ Support NP and RNCM care team members through facilitating in home telehealth visits with patients.
+ Utilize motivational interviewing techniques to encourage patients to make behavioral changes.
Measures of Success
+ Patient Engagement
+ Care Setting Transitions
+ Assessment
+ Monthly Goal completion as set by the RNCM
+ Patient Success - as measured by no/reduced hospital or ER visits on a monthly basis
Qualifications
Required
+ Experience working with Medicare, Medicaid or Special Needs populations.
+ Medical Assistant, Licensed Practical Nurse, Engagement Specialist or Community Health Worker Experience.
+ Ability to connect with people and understand the challenges they face.
+ Ability to use a range of outreach methods to engage individuals and groups in diverse settings.
+ Well connected to the community and resources within the community they will serve.
+ Effective written and verbal communication skills demonstrating respect and cultural awareness during interactions with clients.
+ Ability to travel throughout the assigned region and comfort with conducting home visits (50-75% same day travel).
+ Great motivator
+ Organized Coach
+ Empathetic
+ Outgoing / positive personality
Preferred
+ Experience working with patients with chronic and behavioral health needs.
+ Demonstrated success in working as part of a multi-disciplinary team including communicating and working with Physicians and Registered Nurses.
+ Proven experience with engaging patients in making healthy behavior changes.
+ Proven skills in navigating the health systems and making necessary linkages in order to meet specific needs.
+ Experience working with Electronic Medical Records and other documentation platform.
**Wage Range**
**$22 to $25 per hour**
_Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience and may fall outside of the range shown_
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Our priority is the health and safety of our members, colleagues, partners, and community. Proof of COVID-19 Vaccination is required for employment. If you are unable to be vaccinated for medical reasons or sincerely-held religious beliefs, we will consider requests for reasonable accommodations consistent with our policy, and where we are able to provide such accommodations without undue hardship to the company pursuant to applicable law.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Somatus, Inc. provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. Further, the company takes affirmative action to ensure that applicants are employed, and employees are treated during employment without regard to any of these characteristics. Discrimination of any type will not be tolerated.
IND1

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 inaccordance 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 introduce the Somatus program and encourage enrollment to build their patient caseload.
+ Conduct door-to-door engagement outreach for patients with telephonic barriers.
+ Support NP and RNCM care team members through facilitating in home telehealth visits with patients.
+ Utilize motivational interviewing techniques to encourage patients to make behavioral changes.
Measures of Success
+ Patient Engagement
+ Care Setting Transitions
+ Assessment
+ Monthly Goal completion as set by the RNCM
+ Patient Success - as measured by no/reduced hospital or ER visits on a monthly basis
Qualifications
Required
+ Experience working with Medicare, Medicaid or Special Needs populations.
+ Medical Assistant, Licensed Practical Nurse, Engagement Specialist or Community Health Worker Experience.
+ Ability to connect with people and understand the challenges they face.
+ Ability to use a range of outreach methods to engage individuals and groups in diverse settings.
+ Well connected to the community and resources within the community they will serve.
+ Effective written and verbal communication skills demonstrating respect and cultural awareness during interactions with clients.
+ Ability to travel throughout the assigned region and comfort with conducting home visits (50-75% same day travel).
+ Great motivator
+ Organized Coach
+ Empathetic
+ Outgoing / positive personality
Preferred
+ Experience working with patients with chronic and behavioral health needs.
+ Demonstrated success in working as part of a multi-disciplinary team including communicating and working with Physicians and Registered Nurses.
+ Proven experience with engaging patients in making healthy behavior changes.
+ Proven skills in navigating the health systems and making necessary linkages in order to meet specific needs.
+ Experience working with Electronic Medical Records and other documentation platform.
**Wage Range**
**$22 to $25 per hour**
_Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience and may fall outside of the range shown_
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Our priority is the health and safety of our members, colleagues, partners, and community. Proof of COVID-19 Vaccination is required for employment. If you are unable to be vaccinated for medical reasons or sincerely-held religious beliefs, we will consider requests for reasonable accommodations consistent with our policy, and where we are able to provide such accommodations without undue hardship to the company pursuant to applicable law.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Somatus, Inc. provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. Further, the company takes affirmative action to ensure that applicants are employed, and employees are treated during employment without regard to any of these characteristics. Discrimination of any type will not be tolerated.
IND1

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 inaccordance 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 introduce the Somatus program and encourage enrollment to build their patient caseload.
+ Conduct door-to-door engagement outreach for patients with telephonic barriers.
+ Support NP and RNCM care team members through facilitating in home telehealth visits with patients.
+ Utilize motivational interviewing techniques to encourage patients to make behavioral changes.
Measures of Success
+ Patient Engagement
+ Care Setting Transitions
+ Assessment
+ Monthly Goal completion as set by the RNCM
+ Patient Success - as measured by no/reduced hospital or ER visits on a monthly basis
Qualifications
Required
+ Experience working with Medicare, Medicaid or Special Needs populations.
+ Medical Assistant, Licensed Practical Nurse, Engagement Specialist or Community Health Worker Experience.
+ Ability to connect with people and understand the challenges they face.
+ Ability to use a range of outreach methods to engage individuals and groups in diverse settings.
+ Well connected to the community and resources within the community they will serve.
+ Effective written and verbal communication skills demonstrating respect and cultural awareness during interactions with clients.
+ Ability to travel throughout the assigned region and comfort with conducting home visits (50-75% same day travel).
+ Great motivator
+ Organized Coach
+ Empathetic
+ Outgoing / positive personality
Preferred
+ Experience working with patients with chronic and behavioral health needs.
+ Demonstrated success in working as part of a multi-disciplinary team including communicating and working with Physicians and Registered Nurses.
+ Proven experience with engaging patients in making healthy behavior changes.
+ Proven skills in navigating the health systems and making necessary linkages in order to meet specific needs.
+ Experience working with Electronic Medical Records and other documentation platform.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Our priority is the health and safety of our members, colleagues, partners, and community. Proof of COVID-19 Vaccination is required for employment. If you are unable to be vaccinated for medical reasons or sincerely-held religious beliefs, we will consider requests for reasonable accommodations consistent with our policy, and where we are able to provide such accommodations without undue hardship to the company pursuant to applicable law.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Somatus, Inc. provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. Further, the company takes affirmative action to ensure that applicants are employed, and employees are treated during employment without regard to any of these characteristics. Discrimination of any type will not be tolerated.

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 inaccordance 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 introduce the Somatus program and encourage enrollment to build their patient caseload.
+ Conduct door-to-door engagement outreach for patients with telephonic barriers.
+ Support NP and RNCM care team members through facilitating in home telehealth visits with patients.
+ Utilize motivational interviewing techniques to encourage patients to make behavioral changes.
Measures of Success
+ Patient Engagement
+ Care Setting Transitions
+ Assessment
+ Monthly Goal completion as set by the RNCM
+ Patient Success - as measured by no/reduced hospital or ER visits on a monthly basis
Qualifications
Required
+ Experience working with Medicare, Medicaid or Special Needs populations.
+ Medical Assistant, Licensed Practical Nurse, Engagement Specialist or Community Health Worker Experience.
+ Ability to connect with people and understand the challenges they face.
+ Ability to use a range of outreach methods to engage individuals and groups in diverse settings.
+ Well connected to the community and resources within the community they will serve.
+ Effective written and verbal communication skills demonstrating respect and cultural awareness during interactions with clients.
+ Ability to travel throughout the assigned region and comfort with conducting home visits (50-75% same day travel).
+ Great motivator
+ Organized Coach
+ Empathetic
+ Outgoing / positive personality
Preferred
+ Experience working with patients with chronic and behavioral health needs.
+ Demonstrated success in working as part of a multi-disciplinary team including communicating and working with Physicians and Registered Nurses.
+ Proven experience with engaging patients in making healthy behavior changes.
+ Proven skills in navigating the health systems and making necessary linkages in order to meet specific needs.
+ Experience working with Electronic Medical Records and other documentation platform.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Our priority is the health and safety of our members, colleagues, partners, and community. Proof of COVID-19 Vaccination is required for employment. If you are unable to be vaccinated for medical reasons or sincerely-held religious beliefs, we will consider requests for reasonable accommodations consistent with our policy, and where we are able to provide such accommodations without undue hardship to the company pursuant to applicable law.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Somatus, Inc. provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. Further, the company takes affirmative action to ensure that applicants are employed, and employees are treated during employment without regard to any of these characteristics. Discrimination of any type will not be tolerated.

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 inaccordance 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 introduce the Somatus program and encourage enrollment to build their patient caseload.
+ Conduct door-to-door engagement outreach for patients with telephonic barriers.
+ Support NP and RNCM care team members through facilitating in home telehealth visits with patients.
+ Utilize motivational interviewing techniques to encourage patients to make behavioral changes.
Measures of Success
+ Patient Engagement
+ Care Setting Transitions
+ Assessment
+ Monthly Goal completion as set by the RNCM
+ Patient Success - as measured by no/reduced hospital or ER visits on a monthly basis
Qualifications
Required
+ Experience working with Medicare, Medicaid or Special Needs populations.
+ Medical Assistant, Licensed Practical Nurse, Engagement Specialist or Community Health Worker Experience.
+ Ability to connect with people and understand the challenges they face.
+ Ability to use a range of outreach methods to engage individuals and groups in diverse settings.
+ Well connected to the community and resources within the community they will serve.
+ Effective written and verbal communication skills demonstrating respect and cultural awareness during interactions with clients.
+ Ability to travel throughout the assigned region and comfort with conducting home visits (50-75% same day travel).
+ Great motivator
+ Organized Coach
+ Empathetic
+ Outgoing / positive personality
Preferred
+ Experience working with patients with chronic and behavioral health needs.
+ Demonstrated success in working as part of a multi-disciplinary team including communicating and working with Physicians and Registered Nurses.
+ Proven experience with engaging patients in making healthy behavior changes.
+ Proven skills in navigating the health systems and making necessary linkages in order to meet specific needs.
+ Experience working with Electronic Medical Records and other documentation platform.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Our priority is the health and safety of our members, colleagues, partners, and community. Proof of COVID-19 Vaccination is required for employment. If you are unable to be vaccinated for medical reasons or sincerely-held religious beliefs, we will consider requests for reasonable accommodations consistent with our policy, and where we are able to provide such accommodations without undue hardship to the company pursuant to applicable law.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Somatus, Inc. provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. Further, the company takes affirmative action to ensure that applicants are employed, and employees are treated during employment without regard to any of these characteristics. Discrimination of any type will not be tolerated.