Care Navigator - MA - Grand Traverse Michigan

Homeward is rearchitecting the delivery of health and care in partnership with communities everywhere, starting in rural America. Today, 60 million Americans living in rural communities are facing a crisis of access to care. In the U.S. healthcare system, rural Americans experience significantly poorer clinical outcomes. This trend is rapidly accelerating as rural hospitals close and physician shortages increase, exacerbating health disparities. In fact, Americans living in rural communities suffer a mortality rate 23 percent higher than those in urban communities, in part because of the lack of access to quality care.

Our vision is care that enables everyone to achieve their best health. So, we're creating a new healthcare delivery model that is purpose-built for rural America and directly addresses the issues that have historically limited access and quality. Homeward supports Medicare-eligible beneficiaries by partnering with health plans, providers, and communities to align incentives - taking full financial accountability for clinical outcomes and the total cost of care across rural counties.

As a public benefit corporation and Certified B Corp , Homeward's mission and business model are aligned to address the healthcare, economic, and demographic challenges that make it challenging for rural Americans to stay healthy. Our Homeward Navigation platform uses advanced analytics to connect members to the right care and local resources that address social determinants of health and improve holistic health outcomes. Since many rural communities lack adequate clinical capacity, Homeward also employs care teams that supplement local practices and reach people who cannot otherwise access care.

Homeward is co-founded by a leadership team that defined and delivered Livongo's products, and backed most recently by a $50 million series B co-led by Arch Ventures and Human Capital, with participation from General Catalyst for a total of $70 million in funding. With this leadership team and funding, Homeward is committed to bringing high-quality healthcare to rural communities in need.


The Opportunity

We seek a full-time Care Navigator - MA passionate about helping people in rural communities throughout Grand Traverse County.

You'll be responsible for working with Homeward members and their providers to achieve their best health. You'll conduct proactive telephonic, video, and in-person outreach to build relationships with members, connect them with services they need-medical, behavioral, and social-and address gaps in their care. You will deeply understand your local community and use your expertise to advance members' health.

Homeward career opportunities underscore our vision and values and represent an investment in our team and in the communities we serve. Our care delivery model and value-based arrangements are designed to minimize administrative burden and optimize professional satisfaction, and we offer a unique combination of benefits, compensation, and rewards that are highly valued by our employees, including generous cash compensation (base + incentive), equity grants, tuition and student loan repayment, workplace flexibility, and numerous other tangible and intangible benefits.


Benefits

• Medical, dental, and vision insurance with 100% of monthly premium covered for employees
• Competitive salary and possible equity grant
• Supplemental performance bonus opportunities
• Relocation and travel reimbursement
• Loan repayment support
• Company-sponsored 401k plan + match
• Generous paid time off
• Comprehensive training provided
  
  

• Support fulfillment of recommended health services, including obtaining prescribed medicines, coordinating scheduling of health-related activities, attending scheduled health-related appointments, and testing
• Mitigating administrative and logistical barriers to obtaining recommended health services
• Attend regular staff meetings, trainings, and other meetings, as requested.
• Document all member encounters in the designated electronic platform in a timely manner, including records of navigation activities, clinical service plans, and outcomes achieved by the member
• Engage potential members by effectively communicating the services and value that Homeward can provide
• Build member health literacy and digital literacy
• Initiate communication with patients on completing pre-appointment requirements (e.g., registration forms, lab tests, x-rays, etc.)
• Initiate encounters with members to prepare for the visit, coordinate patient flow, gather and document pertinent data (vitals, medications, allergies) from the patient, and enter information into the medical record
• Conduct check-ins and/or visits with members telephonically, virtually, in-clinic, and/or in-home regularly
• Support fulfillment of recommended health services, including obtaining prescribed medicines, coordinating scheduling of health-related activities, attending scheduled health-related appointments, and testing
• Mitigating administrative and logistical barriers to obtaining recommended health services
• Maintain a member panel of seniors located within a specific set of counties and support successful completion of care plans, including individual member health goals
• Provide coaching to activate members in their self-care
• Reduce adverse social isolation or loneliness through connection to community social networks appropriate for the membership
• Collaborate with members' primary care providers and their teams to ensure cohesive care
• Build for scale by identifying and maintaining a list of community resources and contacts to meet our members' needs
• Support the team and fellow Navigators in maintaining member panels within the designated geography
• Attend regular staff meetings, trainings, and other meetings, as requested.
• Document all member encounters in the designated electronic platform in a timely manner, including records of navigation activities, clinical service plans, and outcomes achieved by the member
  
  

• Completion of a Medical Assistant program from an accredited program or school
• High school diploma or equivalent
• At least two years of experience in high-touch, patient-facing roles, preferably with seniors
• Passion for delivering care in rural America and ability to persuade members to take actions that support their health
• Expertise with the local community, geography, culture, healthcare ecosystem, and available resources
  
  

• Community Health Worker Certification
• Previous experience in a fast-paced, high-growth environment
• Experience working with connected devices/internet-of-things is a plus

• Deep commitment to one another, the people and communities we serve, and to provide care that enables everyone to achieve their best health
• Compassion and empathy
• Curiosity and an eagerness to listen
• Drive t.