Impress employers and recruiters.
Choose from hundreds of resume examples.
Impress employers and recruiters.
Choose from hundreds of resume examples.
Tailor your resume to this Health Home Plus Specialist role.
Rezi rewrites your resume against Saint Barnabas Medical Center's job description. Free.
Tailor your resume to this Health Home Plus Specialist role.
Rezi rewrites your resume against Saint Barnabas Medical Center's job description. Free.
Don't guess if your resume is good enough.
See how it scores against the Health Home Plus Specialist posting at Saint Barnabas Medical Center — free, in seconds.
Don't guess if your resume is good enough.
See how it scores against the Health Home Plus Specialist posting at Saint Barnabas Medical Center — free, in seconds.
About the Role
The Health Home Plus Specialist provides patient-centered, data-informed care management for an assigned panel of Health Home Plus patients. This role identifies eligible individuals, coordinates medical and social services, supports engagement in care, and addresses barriers to improved health outcomes. The Specialist ensures timely assessment, care planning, outreach, documentation, billing, and performance reporting in collaboration with patients, families, providers, and multidisciplinary teams.
Responsibilities
- Downloads and analyzes data to identify potential patients, and reviews charts on multiple systems to determine patient eligibility for services.
- Conducts telephone and in-person outreach to drive patient enrollment, using a tailored approach for each individual.
- Completes a comprehensive assessment for each assigned patient, after discussion with the patient, family member, as well as review of patient’s medical records.
- Completes and maintains patient centered Plans of Care (POC) based on comprehensive assessments, within the required time, to address patient health and social needs.
- Provides intensive care management to an assigned panel of Health Home Plus patients, meeting the required contacts within the time period.
- Supports patients to secure medical and social service appointments, reminds patients of pending appointments, and follows up on missed appointments.
- Provides specialized health education to help the patient maintain optimal health and meet social needs.
- Conducts field visits as needed and assigned.
- Participates in case conferences with other case managers, treatment provider, and other members of a multidisciplinary team.
- Assesses patient eligibility for relevant programs and undertakes relevant documentation to ensure patient access to need services.
- Ensures entitlements, insurance, and benefits are in place.
- Monitors clients’ progress in utilizing services and referrals through telephone and in-person contact.
- Conducts outreach and other contact activities, as needed, to help the patient remain engaged in care, and close relevant gaps in care.
- Manages their caseload to ensure a high level of billing compliance, analyzing lost revenue and strategizing approaches for future compliance.
- Responds to notification of inpatient admissions of emergency department visits to assess the situation and provides necessary interventions.
- Accurately records all services provided in the patient’s electronic health record or other relevant electronic system, as required.
- Maintains a caseload-tracking tool to effectively manage all aspects of the case and to ensure timely completion of required elements.
- Compiles weekly and monthly reports on case load for leadership.
- Actively participates in Health Home Plus training opportunities to stay current and develop skills with the changing systems.
- Performs other related duties at the discretion of the management.
- Attend scheduled department and division meetings and participate as appropriate.
Requirements
- A minimum of two (2) years’ experience in case management required.
- Prior experience in Health Home care management services.
- Ability to travel to meet patients.
Skills
- Excellent communication skills, verbal and written.
- Proficiency in Electronic Medical Records
- Proficiency in Microsoft Excel
- Bilingual Spanish/English preferred.
Experience Level
- 2 years experience in case management
Education Level
- Bachelor’s degree in human services/related discipline
- Master’s Degree preferred