administrative services coordinator - social work

care coordinator (social worker i) medical clinics

certified nursing assistant (cna) – community outreach & telehealth support

clinical outreach coordinator - grace medical center - op behavioral health

accounting analyst - hilton baltimore inner harbor

addictions counselor - baltimore Jobs in Baltimore

addictions counselor - baltimore

administrative services coordinator - social work Jobs in Baltimore

care coordinator (social worker i) medical clinics Jobs in Baltimore

certified nursing assistant (cna) – community outreach & telehealth support Jobs in Baltimore

clinical outreach coordinator - grace medical center - op behavioral health Jobs in Baltimore

clinical outreach coordinator grace medical center op behavioral health

Lifebridge Health

<div><h1 class="jobSectionHeader">Clinical Outreach Coordinator - Grace Medical Center - OP Behavioral Health
</h1><div><div><ul><li>Baltimore, MD
</li><li>SINAI HOSPITAL
</li><li>FMF-OP BEHAVIORAL HE
</li><li>Full-time - Day shift - 8:30am-5:00pm
</li><li>CLERICAL ADMIN
</li><li>95768
</li><li>$24.38-$36.57 Experience based
</li><li>Posted: Today
</li></ul></div><div>Apply Now Save Job Saved
</div></div><div>Summary
<div><div><div>JOB SUMMARY:</div>
<div></div><ul><li>Coordinates and provides intake screening for the Outpatient Mental Health Program, Partial Hospitalization Program (PHP), and Intensive Outpatient Program (IOP).</li>
<li>Determines appropriate services, schedules appointments and makes referrals to other agencies as appropriate.</li>
<li>Gathers clinical information from patients to link them to appropriate services.</li>
<li>Provides clinical guidance to referral sources.</li>
<li>Communicates clinical screening outcomes, symptoms, and behaviors to the treatment team.</li>
<li>Establishes and nurtures relationships with referral sources.</li>
<li>Markets the programs by providing presentations to outside referral sources.</li>
<li>Coordinates outreach and interacts with Lifebridge Health departments and public and private agencies.</li>
<li>Provides an excellent customer service experience to patients, referral sources, visitors and co-workers.</li>
</ul>
REQUIREMENTS:
<ul><li>Bachelor's Degree in Psychology or Social Work</li>
<li>Minimum of 1 year of experience; 3+ years of experience preferred - clinical experience working with SMI and Chemically Dependent patients. Basic understanding of symptoms and pathology of mental illness.</li>
</ul>
</div></div>Additional Information
Who We Are: 
 
LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to &ldquo;improve the health of people in the communities we serve.&rdquo; Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. 
 
What We Offer: 
 
Impact: Join a team that values innovation and outcomes, delivering life-saving care to our youngest and most vulnerable patients. 
 
Growth: Opportunities for professional development, including tuition reimbursement and developing foundational skills for neonatal critical care leadership and advanced certification. 
 
Support: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support &mdash; improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license. 
 
Benefits: Competitive compensation (additional compensation such as overtime, shift differentials, premium pay, and bonuses may apply depending on job), comprehensive health plans, free parking, and wellness programs. 
 
Why LifeBridge Health? 
 
With over 14,000 employees, 130 care locations, and two million annual patient encounters, we combine strategic growth, innovation, and deep community commitment to deliver exceptional care anchored by five leading centers in the Baltimore region: Sinai Hospital of Baltimore, Grace Medical Center, Northwest Hospital, Carroll Hospital, and Levindale Hebrew Geriatric Center and Hospital. 
 
Our organization thrives on a culture of CARE BRAVELY&mdash;where compassion, courage, and urgency drive every decision, empowering teams to shape the future of healthcare. 
 
LifeBridge Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. LifeBridge Health does not exclude people or treat them differently because of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression.
</div><div><div><div><div>Share:
</div></div><div>Apply Now</div></div></div></div><div></div>

Clinical Outreach Coordinator - Grace Medical Center - OP Behavioral Health

Enterprise Mangement Solutions Inc

Co-Occurring Disorder Counselor - Baltimore

Headlands Research

<div><div>At Headlands Research, we are dedicated to enhancing clinical trial delivery within our communities. As a leading network of advanced clinical trial sites, we leverage cutting-edge technology and exceptional support services to broaden outreach and participation. Founded in 2018, our rapidly growing company currently operates 20+ sites across the US and Canada, with plans for further expansion.</div><div> 
<h1 class="jobSectionHeader">
Clinical Research Coordinator (CRC)</h1>

Location: Pikesville, MD | Site Name: Headlands Research - Pharmasite | Full-Time 


Are you an experienced clinical research professional with a passion for advancing medicine? Join a leading, integrated clinical research network dedicated to high-quality data, patient-centered care, and innovation in clinical trials.

We&rsquo;re seeking a Clinical Research Coordinator (CRC) for our clinical research site located in Pikesville, MD. The CRC will manage and execute Phase I-IV clinical studies in accordance with FDA regulations, GCP/ICH guidelines, and sponsor protocols. This role is ideal for someone who thrives in a fast-paced environment and is eager to make an impact in the clinical research industry.

Type: Regular Full-time Employee 
Schedule: Mondays through Fridays, 8:00am - 5:00pm 
Location: Onsite in Pikesville, MD (no capabilities for remote or hybrid work) 
Reports to: Site Director 
Benefits: Our benefits package for full-time employees includes health insurance (medical, dental, and vision), Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA), Paid Time Off (PTO), a variety of disability, accident, and life insurance options, as well as many more.
<h2 class="jobSectionHeader">
What We Offer</h2>
<ul><li>Competitive pay + annual performance incentives</li>
<li>Medical, dental, and vision insurance</li>
<li>401(k) plan with company match</li>
<li>Paid time off (PTO) and company holidays</li>
<li>A mission-driven culture focused on advancing medicine and improving patient outcomes</li></ul> 


<h2 class="jobSectionHeader">Why Join Us?</h2>

You&rsquo;ll be part of a growing, mission-driven organization that values its people. At our core, we&rsquo;re committed to bringing innovative medical treatments to patients faster&mdash;while creating an environment where employees thrive. If you&rsquo;re passionate about clinical research and ready to make a difference, we&rsquo;d love to hear from you. 


Responsibilities:
<ul>
<li>Coordinate all aspects of assigned clinical trials from site initiation to study close-out</li>
<li>Conduct subject visits and ensure timely, accurate documentation following ALCOA-C standards</li>
<li>Maintain compliance with study protocols, GCP/ICH guidelines, FDA regulations, IRB policies, and company SOPs</li>
<li>Manage subject recruitment, informed consent, and retention strategies</li>
<li>Ensure timely data entry and resolution of EDC queries</li>
<li>Report and follow up on all adverse events, serious adverse events, and deviations</li>
<li>Collaborate with investigators, lab teams, sponsors/CROs, and internal stakeholders</li>
<li>Prepare for and participate in monitoring visits, audits, and inspections</li>
<li>Maintain regulatory documentation and ensure proper training is completed for all study amendments and systems</li>
<li>Execute study procedures such as phlebotomy, ECGs, and sample processing within scope (as trained)</li>
<li>Attend investigator meetings and provide cross-functional support as needed</li>
<li>Maintain working knowledge of study protocols, laboratory manuals, equipment calibration, and inventory control</li></ul> 


Requirements:
<ul>
<li>Bachelor's degree OR 2 years of college in a health-related program OR experience and training in conducting clinical trials with knowledge of ICH GCP required OR licensed as a Licensed Practical Nurse (LPN) or higher</li>
<li>Previous experience as a Clinical Research Coordinator preferred</li>
<li>Deep understanding of FDA, ICH-GCP regulations, and clinical trial procedures</li>
<li>Proficiency in medical terminology and clinical documentation practices</li>
<li>Strong interpersonal, verbal, and written communication skills</li>
<li>Organized, detail-oriented, and capable of managing multiple priorities</li>
<li>Proficient in Microsoft Office and other clinical research systems</li></ul> 


Apply now to become a part of a team that&rsquo;s changing the future of healthcare&mdash;one trial at a time.</div></div>

Clinical Research Coordinator

MedStar Health

<div>About this Job:

General Summary of Position 
Provides case management and care coordination for hospitalized patients within CTO (Care Transformation Organization)-supported practices, partnering with the interdisciplinary team and serving as a key liaison to ensure seamless care across settings.
The LPN Transition of Care Nurse supports high-risk and episodic patients&mdash;primarily within the Medicaid population&mdash;through safe, coordinated transitions from hospital to home or other care settings. This hybrid role offers remote flexibility while requiring regular travel to hospitals and the community to engage patients in person.
In this role, the LPN partners with care teams to meet patients during hospitalization, ensuring continuity of care, reducing readmissions, and addressing clinical and social needs. Strong Medicaid experience is essential, along with a well-rounded background that includes both hospital-based care and community, outpatient, or ambulatory case management.
This is a hands-on, patient-facing role that requires routine hospital visits. Mileage and parking for required travel are reimbursed. The ideal candidate is self-directed, organized, and passionate about improving outcomes for vulnerable populations. 
Primary Duties and Responsibilities 
<ul><li>
Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.</li><li>
In collaboration with the interdisciplinary care team acts as primary care team agent for the episodic care needs and coordination of care for a panel of attributed Medicare beneficiaries following discharge by ensuring the following: Ensures attributed beneficiaries have timely access to care (same day or next day access to the patient's own practitioner and/or care team for urgent care or transition management); Assists patients with scheduling appointments with providers including annual wellness visits. Review of Discharge instructions and Medication Reconciliation</li><li>
Attributed beneficiaries receive a follow up interaction from the TOC Care manager coordinator within 2 business days for hospital discharge and within one week for Emergency Department (ED) discharges; Coordinates referral management for attributed beneficiaries seeking care from high-volume and/or high-cost specialists as well as EDs and hospitals; Facilitates connection to services for patients who may benefit from behavioral health services including: patients with serious mental illness patients with substance use disorders' patients with depression anxiety or other mental health conditions patients with behavioral and social risk factors and BH issues patients with multiple co-morbidities and BH issues; elevates patients requiring longitudinal / ongoing care management needs following discharge to the CTO Lead Care manager MDPCP Social needs teams and or MDPCP Amb pharmacist where appropriate</li><li>
Completes general assessment for barriers or needs including any Social Determinants of Health (SDoH) and makes referrals as appropriate</li><li>
Assesses plans implements monitors and evaluates options and services to meet health needs of attributed beneficiaries up to 30days following In patient discharge or Emergency room visit . Manages a caseload in compliance with contractual obligations and the MD Primary Care Program (MDPCP) standards.</li><li>
Monitors and evaluates effectiveness of care plan and modifies plan as needed. Supports member access to appropriate quality and cost-effective care. Coordinates with internal and external resources to meet identified needs of the member's care plan and collaborates with providers</li><li>
Acts as a liaison and member advocate between the member/family physician and facilities/agencies. Provides clinical consultation to physicians professional staff and other teams members/supervisors to provide optimal quality patient care and effective operations.</li><li>
Ensures members are engaging with their PCP to complete their care management treatment plan or preventive care services.</li><li>
Ensures daily telephonic patient communication to help to close gaps in care and provide up-to-date healthcare information helping to facilitate the members understanding of his/her health status using available reports including quality m page and HIE CRISP to ensure relevant medical history/encounter are accessible in EMR.</li><li>
Facilitates ongoing communication amongst practice and care team by participating in huddles hosting regular conference calls in-person meetings or coordinating regular email updates to ensure alignment of activity discuss new developments and exchange information.</li><li>
Participates in meetings and on committees and represents the department and hospital in community outreach efforts.</li><li>
Participates in multi-disciplinary quality and service improvement teams.</li></ul>
Minimal Qualifications 
Education<ul><li>
Associate's degree from National League for Nursing accredited program required or</li><li>
Diploma from National League for nursing accredited program. required</li></ul>
Experience<ul><li>
3-4 years Related experience required</li></ul>
Licenses and Certifications<ul><li>
LPN - Licensed Practical Nurse - State Licensure Valid Maryland LPN License required and</li><li>
CPR - Cardiac Pulmonary Resuscitation Active ALS/CPR certification required and</li><li>
DL - Valid State Driver's License in good standing Valid driver's license required</li></ul>
Knowledge Skills and Abilities<ul><li>
Basic computer skills preferred.</li><li>
Effective verbal and written communication skills.</li><li>
Excellent interpersonal and customer service skills especially serving geriatric patients.</li><li>
Strong analytical and critical thinking skills.</li><li>
Strong community engagement and facilitation skills.</li><li>
Advanced project management skills.</li><li>
Commitment to collective impact concepts.</li><li>
Flexibility and the ability to work autonomously as well as take direction as needed.</li><li>
Cultural competency.</li><li>
Proficient computer skills along with experience using Microsoft applications-Word Excel etc. and familiarity with entering data in an electronic medical record (EMR).</li></ul>
This position has a hiring range of : USD $61,838.00 - USD $111,259.00 /Yr.</div>

LPN Care Manager CTO Transition of Care

<div>DISCLOSURES

The specific statements shown in each section of this job description are not intended to be all-inclusive. They represent typical elements and criteria considered necessary to perform the job successfully. The job&rsquo;s responsibilities/tasks may be modified and/or expanded over time. Company will inform the personnel member when changes in the respective job description are made. 
ABOUT LIGHTHOUSE BEHAVIORAL HEALTH CENTER

Lighthouse Behavioral Health Center is a community-based behavioral health organization dedicated to providing high-quality, person-centered care to individuals and families affected by mental health and substance use challenges. We offer a comprehensive range of services, including outpatient therapy, psychiatric care, intensive in-home services, Medication Assisted Treatment (MAT), and case management. 
Our team is committed to delivering trauma-informed, culturally responsive, and evidence-based care that promotes healing, empowerment, and long-term wellness. With a strong focus on accessibility and compassion, Lighthouse Behavioral Health Center serves clients across all ages and backgrounds&mdash;helping them navigate recovery, build resilience, and achieve greater stability in their lives. 
COMPANY WEBSITE: https://lighthousebhc.org/ 
COMPANY PHONE NUMBER: (667) 400-6206 
HUMAN RESOURCES DEPARTMENT PHONE NUMBER: (667) 400-6206 EXT 
HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS: hr@lighthousebhc.org 
ALTERNATE TITLE(S): Substance Abuse Counselor, Addiction Specialist, Substance Use Disorder Counselor, Recovery Coach, Drug and Alcohol Counselor, Behavioral Health Counselor 
COMPANY: Lighthouse Behavioral Health Center 
DIVISION: Operations 
DEPARTMENT: Residential Treatment Program 
UNIT: n/a 
BENEFITS: n/a This position is eligible for standard W-2 employee benefits, including but not limited to those outlined in the Company&rsquo;s official benefits package. Eligibility and participation are subject to the terms and conditions of the applicable plans. Full details are provided in the current benefits package documentation. 
ACCOUNTABLE TO: Counseling Supervisor / OMHC / SUD Operations Manager / Program Director 
ACCOUNTABLE FOR: n/a 
CLASSIFICATION: Full-Time (W2) 
WORK SCHEDULE: Sunday-Wednesday from 8am-5pm 
Standard Daily Responsibilities
<ul>
<li>Check-in with the Operations Manager.</li>
<li>Facilitate a low-intensity residential treatment group session for the first set of 16 clients.</li>
<li>Document all group sessions in ICANotes using W7310 + RESRB coding.</li>
<li>Conduct one of the following services based on scheduling assignments:
<ul><li>Telehealth intake (H0001) for a new client.</li>
<li>Telehealth initial session (90791) for a new client.</li>
<li>Follow-up telehealth session (90791) for a non-3.1 client (within the past 6 months).</li>
<li>Follow-up telehealth session (H0001) for a non-3.1 client (not completed within the past 6 months).</li>
<li>In-person individual session for a 3.1 client who has not had an individual session that week.</li>
<li>All sessions must be documented in ICANotes during the session.</li>
</ul></li><li>Facilitate a low-intensity residential treatment group session for the remaining 16 clients.</li>
<li>Document all group sessions in ICANotes using W7310 + RESRB coding.</li>
<li>Check-out with the Operations Manager.</li></ul> 


COMPENSATION RANGE: $25 - $40 per hour, W2 employees are eligible for benefits: health insurance, professional development opportunities, and paid time off. Mileage reimbursement for preapproved mileage. 
ANTICIPATED TRAVEL: 0% of the time. 
SUMMARY OF POSITION RESPONSIBILITIES

The Addiction Counselor will provide therapeutic services to clients at three residential treatment program locations, ensuring high-quality care in alignment with program goals. The counselor will be responsible for conducting one 45-60-minute session per day at each location and collaborating with supervisors and program directors to optimize client outcomes.

This position requires the counselor to adhere to a structured weekly schedule, maintain accurate documentation, and participate in supervisory and operational check-ins. 
SCHEDULED DUTIES &amp; RESPONSIBILITIES

Core Counseling Services:
<ul>
<li>Facilitate group counseling sessions at three designated locations as per the weekly schedule.</li>
<li>Address addiction recovery, coping mechanisms, and relapse prevention in therapy sessions.</li>
<li>Tailor sessions to meet the unique needs of clients, ensuring evidence-based approaches are utilized.</li>
</ul>
Supervision and Collaboration:
<ul>
<li>Participate in scheduled weekly check-ins with the Counseling Supervisor every Wednesday.</li>
<li>Collaborate with the OMHC/SUD Operations Manager and Program Director for additional tasks as needed.</li>
</ul>
Documentation and Compliance:
<ul>
<li>Accurately document client sessions, treatment plans, and progress reports in alignment with organizational policies.</li>
<li>Submit documentation promptly to maintain compliance with legal and organizational requirements.</li>
</ul>
Travel and Coordination:
<ul>
<li>Travel to designated residential treatment locations as per the daily schedule.</li>
<li>Coordinate effectively between locations to maintain punctuality and consistency in service delivery.</li></ul> 


UNSCHEDULED DUTIES &amp; RESPONSIBILITIES
<ul>
<li>Assist supervisor with work-related requests.</li>
<li>Collaborate with and serve as program POC for external treatment providers and outside agencies as needed.</li>
<li>Responsible for following regulations of COMAR, CARF, any other regulatory body, and company policies/ procedures related to service delivery and documentation and co-facilitating orientation of all new hires to these as well.</li>
<li>Support the maintenance of a safe environment by participating in training and drills as requested.</li>
<li>Maintain confidentiality of records relating to client&rsquo;s treatment.</li>
<li>Participate in external and internal audits/surveys (CARF/CSA/OHCQ) as directed by the supervisor.</li>
<li>Participates in quality assurance and performance improvement plans by completing periodic audits or other activities to ensure regulatory compliance and/or improve service delivery.</li>
<li>Ensure the medical director or clinical supervisor reviews and co-signs documents as required.</li></ul> 


PHYSICAL DEMANDS: Regularly walk, stand, or stoop; occasionally lift, carry, push, pull, or otherwise move objects weighing up to 25 pounds; and regularly drives a motor vehicle. 
WORKING CONDITIONS: Work is performed in an office, in client&rsquo;s homes or in the community; Work exposes incumbent to contagious or infectious diseases; Work may expose incumbent to dangerous and volatile situations; which could result in bodily injury. 
COMPETENCIES AND SKILLS

Proven working experience in counseling, including as a nurse, medical, mental health care manager, or a related job
<ul>
<li>Excellent knowledge of psychotherapeutic principles, healthcare management, and reimbursement</li>
<li>Previous experience with psychological aspects of care</li>
<li>Effective communication skills</li>
<li>Excellent organizational and time management skills</li>
<li>Familiarity with professional and technical emerging knowledge</li>
<li>Problem-solving skills and ability to multitask</li>
<li>Compassionate with teamwork skills</li>
<li>Minimum of 1-2 years of experience in addiction counseling</li></ul> 


LEVEL OF EDUCATION / TRAINING / QUALIFICATIONS

Education
<ul>
<li>Bachelor&rsquo;s degree in psychology, social work, counseling, or a related field (Master&rsquo;s degree preferred).</li></ul> 


Licensure/Certification

To be eligible for this contract, the contractor must hold valid Maryland licensure, including one of the following:
<ul>
<li>Licensed Clinical Alcohol &amp; Drug Counselor (LCADC)</li>
<li>Licensed Graduate Clinical Alcohol &amp; Drug Counselor (LGADC)</li>
<li>Certified Alcohol &amp; Drug Counselor - Addictions Counselor (CAC-AD)</li>
<li>Certified Supervised Counselor Alcohol &amp; Drug (CSCAD)</li>
<li>Approved Alcohol &amp; Drug Trainee (ADT)</li>
<li>Licensed Clinical Professional Counselor (LCPC)</li>
<li>Licensed Graduate Professional Counselor (LGPC)</li>
<li>Licensed Certified Social Worker - Clinical (LCSW-C)</li>
<li>Licensed Certified Social Worker (LCSW)</li>
<li>Licensed Master Social Worker (LMSW)</li>
<li>Licensed Bachelor Social Worker (LBSW)</li>
<li>Licensed Clinical Marriage &amp; Family Therapist (LCMFT)</li>
<li>Licensed Graduate Marriage &amp; Family Therapist (LGMF)</li>
<li>Licensed Psychologist</li>
<li>Registered Psychology Associate</li>
<li>Certified Registered Nurse Practitioner - Psychiatric Mental Health (CRNP-PMH)</li>
<li>Advanced Practice Registered Nurse - Psychiatric Mental Health (APRN-PMH)</li>
<li>Clinical Nurse Specialist - Psychiatric Mental Health (CNS-PMH)</li>
<li>A Student Intern in one of the above disciplines.</li></ul> 


Experience
<ul>
<li>Minimum of 1-2 years of experience in addiction counseling, preferably in a residential setting.</li></ul> 


Skills
<ul>
<li>Strong organizational skills, excellent communication, and a commitment to ethical practice.</li></ul></div>

Addictions Counselor - Baltimore

Somatus

<div>Overview:

How We Show Up for Our Patients: 
As a leading provider of outcomes-driven care for individuals and communities living with chronic conditions, Somatus is helping patients across the country enjoy More Healthy Days at Home&trade;.<div>
Care at Somatus goes beyond treatment. Through a whole‑person approach, we deliver outcomes‑driven integrated care and show up #SomatusStrong for our patients and teammates. We partner closely with health plans, health systems, and provider groups to support patients with, or at risk of developing, cardio, kidney, metabolic, or other chronic conditions.</div><div></div><div> 
We hire the brightest and boldest &mdash; talent driven by purpose and impact. Since our founding in 2016, our growth trajectory isn&rsquo;t just a milestone &mdash; it&rsquo;s a signal. Our leadership values culture and leads with intention as we remain dedicated to driving clinical excellence.</div><div></div><div> 
Does this sound like you? Keep reading.</div><div></div> 
How We&rsquo;ll Support You: 
We offer 25+ health, growth, and wealth work perks to help teammates be the best version of themselves, including:<ul><li>
Subsidized personal healthcare coverage: Medical, Dental &amp; Vision, plus Wellness programs</li><li>
Paid Time Off: Accrual of 3 weeks&rsquo; Vacation (PTO)</li><li>
Professional development: CEU and tuition reimbursement</li></ul>
Responsibilities:

How You&rsquo;ll Make an Impact:<div>
Somatus offers a Hybrid Telehealth environment with a combination of remote days and visits to members&rsquo; homes.</div><div> 
</div><div>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&rsquo;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 &ldquo;plug in&rdquo; the patient with others and help facilitate their overall wellbeing.</div><div> 
</div><div>This position is a market-based position.</div><ul><li>
Works under the guidance of physicians and/or a nurse care manager.</li><li>
Follow-up with health management plans and goals.</li><li>
Establish positive, supportive relationships with participants and provide feedback.</li><li>
Conduct an initial triage assessment to help align patients with the most appropriate program in 
accordance with program guidelines.</li><li>
Documents their activities in the care coordination platform, including care plan activities conducted.</li><li>
Engages with patients who need assistance with self-care needs in addition to what a nurse care manager can provide via phone, such as:</li><li><div><ul><li>
Address language and cultural barriers to care management and self-care.</li><li>
Coach and guide the patient to meet both personal and clinical goals.</li><li>
Schedules provider appointments on behalf of their patients.</li><li>
Accompanies patients to their appointments when needed.</li><li>
Reminds patients of their upcoming appointments.</li><li>
Helps patients access community and government-based services, including possibly filling out paperwork for the patient.</li><li>
Helps to teach the caregiver about symptom response plans.</li><li>
Arranges transportation.</li><li>
Facilitates closing gaps in care by educating patients about preventive monitoring and working with physician practices to schedule diagnostic testing.</li><li>
Assists patients with enrolling to access educational videos.</li><li>
Participates in the integrated care team meetings.</li><li>
Act as the patient advocate and support the member through their patient journey starting with initial outreach.</li><li>
Conduct telephonic outreach to members within designated geographic area to introduce the Somatus program and encourage enrollment to build their patient caseload.</li><li>
Conduct door-to-door engagement outreach for patients with telephonic barriers.</li><li>
Support NP and RNCM care team members through facilitating in home telehealth visits with patients.</li><li>
Utilize motivational interviewing techniques to encourage patients to make behavioral changes.</li></ul></div></li></ul><div>
Measures of Success</div><ul><li>
Patient Engagement</li><li>
Care Setting Transitions</li><li>
Assessment</li><li>
Monthly Goal completion as set by the RNCM</li><li>
Patient Success &ndash; as measured by no/reduced hospital or ER visits on a monthly basis</li></ul><div></div> 
This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee. Duties, responsibilities, and activities may change at any time with or without notice. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Qualifications:

How You&rsquo;ll Strengthen Our Team:
Qualifications:<ul><li>
Experience working with Medicare, Medicaid or Special Needs populations.</li><li>
High school diploma or GED required .</li><li>
Medical Assistant, Licensed Practical Nurse, Engagement Specialist or Community Health Worker Experience.</li><li>
Ability to connect with people and understand the challenges they face.</li><li>
Ability to use a range of outreach methods to engage individuals and groups in diverse settings.</li><li>
Well connected to the community and resources within the community they will serve.</li><li>
Effective written and verbal communication skills demonstrating respect and cultural awareness during interactions with clients.</li><li>
Ability to travel throughout the assigned region and comfort with conducting home visits (50-75% same day travel).</li><li>
Great motivator</li><li>
Organized Coach</li><li>
Empathetic</li><li>
Outgoing / positive personality</li></ul><div>
Preferred Qualifications:</div><ul><li>
Experience working with patients with chronic and behavioral health needs.</li><li>
Associates degree or higher from an accredited college preferred.
</li><li>Demonstrated success in working as part of a multi-disciplinary team including communicating and working with Physicians and Registered Nurses.</li><li>
Proven experience with engaging patients in making healthy behavior changes.</li><li>
Proven skills in navigating the health systems and making necessary linkages in order to meet specific needs.</li><li>
Experience working with Electronic Medical Records and other documentation platform.</li></ul><div>
Wage Range</div><div>
$21.00- $22.00 Per Hour</div><div>
Compensation for the role will depend on a number of factors, including a candidate&rsquo;s qualifications, skills, competencies and experience and may fall outside of the range shown</div>
Other Duties : Other Requirements: 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 applicable law. Our Commitment to Diversity: At Somatus, we celebrate what makes us unique &mdash; our people. We believe that a culture intentionally built to foster and support our unique passions, experiences, and perspectives helps fuel us in the pursuit of our mission. Somatus, Inc. provides equal employment opportunity to all individuals regardless of race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by law. Discrimination of any type will not be tolerated.</div>

Patient Health Advocate

Chase Brexton Health Care

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 JOB SUMMARY: The Nurse Care Coordinator delivers and oversees care management services for medically and/or socioeconomically complex patients in accordance with patient-defined goals, multi-disciplinary plan of care, and established policies and procedures. Drawing on best practices in motivational interviewing and care management, the Nurse Care Coordinator collaborates with clients and multi-disciplinary teams to develop and implement flexible, patient-centered, and cost-effective strategies that support clients to achieve health-related goals. The Nurse Care Coordinator will collect and analyze patient-level data, assist with development and maintenance of care plans, and evaluate outcomes of interventions. The Nurse Care Coordinator also serves as a role model and mentor to CBHC staff on best practices in care coordination, motivational interviewing and addressing social determinants of health. Assures compliance with regulatory body standards (including Joint Commission, HRSA, PCMH, and grant funding sources). This is a hybrid position, and the staff member is expected to be licensed and based in Maryland.
 
 
 
 Major Duties And Responsibilities
 
 
 
 Analytical and Critical Thinking
 
 
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 Work to develop systems and processes to engage patients in self-management and care navigation.
 
 
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 Ensure that appropriate community resources, home care and ancillary services are in place and being delivered.
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 Identify high and rising-risk, high-need, and potentially high-cost patients within the assigned panel of Chase Brexton Health Care patients
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 Identify patients at risk for poor outcomes and those who may require more intensive services; provide additional outreach and frequent follow up (by phone and in-person) to this population.
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 Provide complex case management, including chronic disease case management, care coordination, transition care management, high risk clinical tracking, and complex medication management to appropriate patients.
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 Access appropriate resources inside and outside the organization to meet the needs of the patient.
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 Provide referrals to appropriate community resources; facilitate access and communication when multiple services are involved; monitor activities to ensure that services are actually being delivered and meet the needs of the patient, coordinate services to avoid duplication. Teamwork
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 Role model and mentor others, including RN Care Managers, to assess and address the physical, functional, social, psychological, environmental, learning and financial needs of patients.
 
 
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 Communication
 
 
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 Deliver, and assist others to also provide, appropriate interventions which demonstrate knowledge of, and sensitivity toward, cultural diversity and religious, developmental, health literacy, and educational backgrounds of the population served. Utilize interpreter services per policy.
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 Facilitate disease prevention and health promotion with nursing staff, patients and families. Patient Focus
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 Provide education, information, and support related to care goals of patients.
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 Act as a patient advocate and assist with problem solving and addressing any barriers to care or compliance with care plan. Checking, Examining, and Recording
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 Maintain accurate patient records and patient confidentiality. Willingness to Learn
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 Engage in professional development activities to keep abreast of care management practices and patient engagement strategies.
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 Attend training sessions and staff meetings as assigned.
 
 
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 SKILLS AND ABILITIES:
 
 
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 Able to prioritize competing responsibilities and manage complex caseloads.
 
 
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 Motivational interviewing skills.
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 Supportive coaching and mentorship to colleagues at clinic sites, including RN Care Managers, around care coordination and addressing social determinants of health.
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 Experience with documentation in an Electronic Medical Record
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 Ability to work with computers in word processing, and database applications preferred.
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 CPR certified by scheduled start date.
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 Must be flexible and adapt to a changing environment.
 
 
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 EDUCATION AND/OR EXPERIENCE:
 
 
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 Graduate from an Accredited School of Nursing; Current Maryland Nursing License
 
 
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 At least five years of related nursing experience serving vulnerable clients in a community-based, home-based, or ambulatory care setting.
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 Chronic disease management experience
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 Encouraged to maintain membership in professional organizations such as the AAACN, ANAC, etc.
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 Preferred: Case Management Certification
 
 
 WORKING CONDITIONS/PHYSICAL DEMANDS:
 
 
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 Work is typically performed in an office environment. Depending on client/population needs, may also include clinical and community and/or home-based activities, as appropriate to program. The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
 
 
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 My signature below indicates that I have reviewed this job description. I understand the specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
 
 
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 Employee Signature
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