Health Navigator at Aledade

Newark, Delaware, United States

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Familiarity with the healthcare community or commitment to learn through networking and community assessment
Valid Delaware driver’s license, excellent driving record, and reliable transportation
1-3 years of healthcare experience
Ability to assist the interdisciplinary care team to collaboratively plan, prioritize, implement, and evaluate individual community members’ plans
Experience working in a medical practice or healthcare setting (preferred)
Experience and comfort using technologies such as computer, telephone, and various EHR platforms to document interactions and schedule appointments
Medical Terminology certification (preferred)
Strong organizational skills
Ability to work independently
Proficient with Microsoft and Google applications
Strong communication skills
Strong motivational skills including conflict/dispute resolution techniques
Access to reliable high-speed internet connection
Associates Degree
Call center experience (preferred); Bilingual (preferred)
Physical ability to sit/stand for prolonged periods, extensive use of computer/telephone/keyboard, occasional walking/lifting
Ability to travel up to 50% within Delaware and Maryland

Responsibilities

Understand the requirements and intent of the Highmark Commercial contract to collaborate with the interdisciplinary care team to improve health plan member outcomes and support Aledade’s population health initiatives
Conduct direct telephonic outreach to health plan members based on outreach initiatives
Complete social determinants of health screenings and facilitate access to community/health plan resources (e.g., food, housing, mobility, energy assistance, governmental programs) via closed-loop referral process
Engage health plan members in obtaining preventative screenings and closing care gaps
Coordinate and document comprehensive tracking of health plan members’ adherence to appointments, health screenings, care plan objectives, non-clinical assessments, encounters, service plans, and outcomes
Under direction of Senior Manager, Care Management and in collaboration with primary care provider, assist members in understanding care plans/instructions, developing healthier habits, proper ER use, and alternatives
Build and maintain positive collaborative relationships with health plan members, caregivers, providers, interdisciplinary team members, and health plan representatives to deploy health engagement strategies and interventions

Skills

Telephonic Outreach

Social Determinants of Health

Care Coordination

Preventive Screenings

Care Gap Closure

Community Referrals

Care Planning

Interdisciplinary Collaboration

Healthcare Navigation

Aledade

Supports independent primary care practices

About Aledade

Aledade operates in the primary care sector, focusing on supporting independent primary care practices. The company provides these practices with essential support and data to help them navigate the challenges of the changing healthcare landscape. Aledade offers personalized, on-the-ground assistance, ensuring that practices have timely access to the right data to improve the quality of care they deliver to their communities. Additionally, Aledade has developed a proprietary technology application that gives practices insights about their patients, further enhancing their care capabilities. Unlike many competitors, Aledade is dedicated to the success of independent practices, making it the largest network of its kind in the nation. The company's goal is to empower these practices to thrive and provide high-quality care through its support services and technology.

Bethesda, MarylandHeadquarters

2014Year Founded

$662MTotal Funding

SERIES_FCompany Stage

Enterprise Software, HealthcareIndustries

1,001-5,000Employees

Risks

Increased competition from platforms like Privia Health threatens Aledade's market share.

Integration challenges from acquiring Medical Advantage may disrupt operations in Michigan.

Rapid technological advancements require continuous updates to Aledade's technology platform.

Differentiation

Aledade partners with independent primary care physicians to create Accountable Care Organizations.

The company offers a proprietary technology platform for timely patient insights.

Aledade provides personalized, on-the-ground support to enhance care quality.

Upsides

Aledade's acquisition of Medical Advantage expands its presence in Michigan significantly.

The rise of telehealth creates new opportunities for Aledade's primary care practices.

Aledade's focus on value-based care aligns with increasing demand for ACOs.

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