Health Partner

Banner Health Corporate; United States; Hybrid; USD 65.000 - 90.000; Vollzeit

Zusammenfassung

Banner Health in the Phoenix metro area is seeking a Health Partner to serve as a trusted resource and advocate for Banner Aetna members. You will proactively engage members, assess needs, connect resources, and help navigate their healthcare journey in a home-based care coordination role.

This hybrid position requires self-motivation, caseload management, and collaboration with care teams to ensure timely, coordinated care and improved health outcomes for high-risk and chronic conditions.

Aufgaben

• Manages patients across the health care continuum to achieve optimal clinical, financial, operational, and satisfaction outcomes.
• Provides self-management support, including checklists and escalation as prescribed by protocols.
• Applies motivational interviewing to promote lifestyle changes and patient enrollment in case management.
• Establishes collaboration with physicians, payers, and care teams to fulfill utilization and regulatory requirements.
• Meets with members and families for initial appointments and home assessments to navigate the health care system.
• Educates internal care teams on case management concepts and integrates these into daily practice.

Jobbeschreibung

Department Name:

Banner Aetna-Care AdvocateTeam

Work Shift:

Day

Job Category:

Clinical Care

The future is full of possibilities. At Banner Health, we're excited about what the future holds for health care. That's why we're changing the industry to make the experience the best it can be. If you're ready to change lives, we want to hear from you!

As a Health Partner , you will serve as a trusted resource and advocate for Banner Aetna members, providing personalized outreach and support to improve health outcomes and overall well-being. Through targeted outreach efforts, you will proactively engage members who may benefit from additional assistance, including those recently discharged from the hospital or identified as needing case management support. Using motivational interviewing techniques, you will build meaningful relationships with members, assess their needs, connect them with appropriate resources, and help them navigate their healthcare journey. This role requires a highly self-motivated individual who can independently manage and grow a caseload, prioritize member needs, and collaborate with care teams to ensure members receive timely, coordinated care and support.

This position is hybrid in the Phoenix metro area. Your schedule will be Monday-Friday 8:00AM-5:00PM. CANDIDATES MUST BE WILLING TO TRAVEL THROUGHOUT THE GREATER PHOENIX AREA 2-3 TIMES A MONTH. CANDIDATES MUST RESIDE IN ARIZONA TO BE CONSIDERED FOR THIS ROLE.

Banner Plans & Networks (BPN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BPN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs.

POSITION SUMMARY

This position will be responsible to manage members with high risk, chronic complex conditions, rising risk, and acute conditions in the delegated populations. The Health Partner will be the main point of contact for members and providers across care settings. The aim is to better manage members in a home-based setting providing a variety of support functions which contribute to the overall improvement in members' healthcare quality of life as well as efficient use of resources. Engages the appropriate resources within the multidisciplinary team to achieve optimal results for the member, family, and care givers. This position provides comprehensive care coordination for members as assigned. This position ensures adherence to the plan of care and develops, implements, monitors, and documents the utilization of resources and progress of the member through their care, facilitating options and services to meet the members' health care needs.

CORE FUNCTIONS

• Manages individual patients across the health care continuum (longitudinal support) to achieve the optimal clinical, financial, operational, and satisfaction outcomes. Coaches members regularly regarding disease related symptom management. Advises members on lifestyle choices to improve prognosis and overall health. Provides patient monitoring, education, and supports patient care plan adherence.
• Provides self-management support. Including, but not limited to; using checklists and escalating as prescribed by protocols, promoting healthy behaviors, imparting problem-solving skills, and assisting with the emotional impact of chronic illness, providing regular follow up and encouraging members to be active participants in their care.
• Applies the skills of motivational interviewing to promote the above lifestyle changes and member enrollment and participation in case management programs Provides emotional support by showing interest, inquiring about emotional issues, showing compassion, and teaching compassion.
• Establishes and promotes a collaborative relationship with physicians, payers, and other members of the health care team. Collects and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements. Bridges gaps between the member and the clinical team including but not limited to following up with members, asking about needs and obstacles, and addressing health literacy, cultural issues, and social-class barriers.
• Meets and accompanies the member and family to their initial appointments and/or conducts in-home assessments based on members' needs. Assists members in navigating the health care system by connecting resources, facilitating support, and empowering the member.
• Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice. Interacts with all levels of staff in a variety of departments, physicians, payers, members, families, and exte