Patient Liaison - Quincy

Job Description

Job Description

Description :

Who is Gather Health?

Gather Health is a collective of outreach partners, care partners, clinicians and, most importantly, patient partners who work together to reshape lives and communities. We bring hands-on social and medical care to our patients and work around their needs, both within our care facilities and in their homes. We work alongside local leaders to build communities and provide tailored care experiences that serve the seniors that live within them. When we Gather, we show love, compassion, community, and care.

What is this role about?

Our older adult patients living in communities that we serve are faced with a variety of social challenges, called “Social Determinants of Health”, or SDOH. Internally called “Gather Guide Partner”, this individual will work closely with our patients to identify their needs, researching solutions that address various barriers, and ultimately enabling them to gain access to critical resources. These challenges include things such as food insecurity, social isolation and loneliness, lack of transportation, etc. The Gather Guide Partner (GGP) will get to know our patients and their unique situations such that they will become the trusted and consistent point-of-contact for them.

The GGP will work collaboratively with our primary care providers, Medical Technician Partners (EMTs), and clinic administrators, as part of the care-team model. This partnership allows us to care for the “whole” patient, rather than only focusing on their physical health. Because of this, the GGP plays a significant role in our ability to provide the best care and support possible with a deep sense of commitment and compassion – and ultimately achieve our vision of creating equity in healthcare.

What are some of the day-to-day duties?

The day-in-the-life of a GGP will vary, depending on the needs of our patients. The majority of your time will be spent in your designated clinic, where you will interact with our patients face-to-face as well as over the phone, virtual visits, etc. Some of the day-to-day duties will include but are not limited to :

• Conduct a face-to-face screening with new patients to identify their individual social needs and document notes
• Ensure social re-screenings are completed for existing patients at least once yearly (In clinic or over the phone)
• Collaborate with the patient and care team to develop personalized social care plans for each patient
• Follow up with patients considered to be high ER / Hospital utilizers to check in on health status after an ER or Hospital admission
• Check in regularly with patients struggling with both health and severe SDOH concerns
• Facilitate Durable Medical Equipment coordination
• Answer inbound clinic calls to provide high level and customized service
• Complete administrative tasks related to SDOH or DME needs
• Research various resources available in the community that are relevant to the needs of our patients
• Continuously expand our network of resources to address gaps such as transportation, food, activities, social connections, and other social determinants of health
• Facilitate patient group activities in our common social events space
• Identify and facilitate creative methods for providing individualized support for patients in need

Requirements :

What are the minimum requirements for this position?

What are the “nice to have”, preferred requirements?

What are the traits of someone most likely to succeed in this role?

What are the hours for this position?

Monday – Friday during standard business hours

Why should I join Gather Health?

o Market-based base salaries

o Paid Time Off (total of 3 weeks per year PTO that accrues with each pay period)

o 11 Paid Holidays

o Medical insurance coverage (health, dental, vision) with no waiting period for enrollment

o Short and Long-Term disability insurance at no cost to you

o Basic life insurance coverage at no cost to you

o 401K match up to 4% of income

o Employee Assistance Program at no cost to you

o Supplemental benefits available for discounted prices (legal services, Aflac, hospital indemnity, accidental death & dismemberment, etc.)

I’d like to know more – what’s the next step?

Great! An employment relationship is a two-way street – as much as we want to make sure to hire the right person, we want YOU to feel great about us too. Let’s start by first having an exploratory conversation and go from there.

Gather Health is an Equal Opportunity Employer. All employment decisions are made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status, or any other basis as protected by federal, state, or local law.