Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical practice locations in eastern Massachusetts. Atrius Health’s 645 physicians and primary care providers, along with 420 additional clinicians, work in close collaboration with hospital partners, community specialists and skilled nursing facilities. Our vision is to transform care to improve lives. Atrius Health provides high-quality, patient-centered, coordinated, cost effective care to every patient we serve. By establishing a solid foundation of shared decision making, understanding and trust with each of its patients, Atrius Health enhances their health and enriches their lives. Atrius Health is part of Optum, a health services company focused on building the leading value-based care system in the country.

SUMMARY

Under general supervision, the Care Facilitator, as a member of a health care team, facilitates the process of care for at risk patients, coordinates an accessible plan of care and tracks adherence. Serves as a liaison between the primary care team, behavioral health clinicians and patient and/or patient’s family. Coordinates with primary care case management and social work teams in the organization to refer patients to community support services, including transportation, disability, insurance reconciliation, nutrition, and other appropriate resources. Is attuned to patient’s preferred language and cultural beliefs impacting care or recommended treatment plan. Provides data management and patient outreach for assigned patient population. Populates basic non-clinical information in the administrative areas of the care plan in the patient’s medical record, collects data, and generates reports. Ensures clinicians are informed of assigned patients’ status and may present performance metrics to larger group of clinicians. Attends required specialty meetings and participates in care improvement activities as needed to improve quality performance. Typically reports to the Care Facilitation Program Supervisor-BH.

EDUCATION/LICENSES/CERTIFICATIONS

High School diploma or equivalency certificate (e.g. GED, HiSET, TASC Test) from an accredited institution or governmental unit required. College degree in health care administration or psychology strongly preferred.

A bachelor’s degree in related field (typically in healthcare administration, psychology or healthcare related field) can at times be substituted for work experience.

EXPERIENCE

Experience typically acquired through three years of experience in a clinical or social services setting. Experience in a Behavioral Health–related setting preferred.

SKILLS

Strong interpersonal and communication skills needed with the ability to interact effectively with patients and medical professionals. Ability to demonstrate a high level of cultural competence and sensitivity to patient needs and concerns. Ability to engage patients in problem solving. Sound judgment with the ability to work and make decisions in a fast paced environment. Computer skills that include proficiency with electronic medical records (EMR), Microsoft Office – especially Word and Excel are required. Knowledge and understanding of medical terminology. Excellent telephone skills, strong customer service and ability to build relationships with patients are required.

Atrius Health is committed to a policy of non-discrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of Atrius Health will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation and gender identity and/or expression, or other dimensions of diversity.

Benefits Include:

· Up to 8% company retirement contribution,

· Generous Paid Time Off

· 10 paid holidays,

· Paid professional development,

· Generous health and welfare benefit package.

Atrius Health is an equal opportunity/affirmative action employer and does not discriminate in recruiting, hiring, training, promoting or any other employment practices on the basis of race, color, religion, sex, marital status, age, sexual orientation, gender identity, national origin, military service or application for military service, veteran or disability status.

Applicants have rights under Federal Employment Laws: Family and Medical Leave Act (FMLA);Equal Employment Opportunity (EEO); and Employee Polygraph Protection Act (EPPA).

VEVRAA Federal Contractor

Request Priority Protected Veteran & Disabled Referrals for all of our locations within the state