Ready Responders was founded to empower people to improve healthcare right in their own neighborhoods: we give patients direct access to healthcare professionals, and we give our Responders the opportunity to provide care in their communities. Ready Responders is a non-transport service and provides only on scene care.
This localized approach also allows us to help our friends and neighbors with non-life-threatening conditions, connecting them with healthcare options for lasting care within their communities. Above all, we believe the desire to do good and technology are powerful forces. By combining them, we can make the world a kinder, safer, and healthier place one neighborhood at a time.
The Community Care Program is part of the Ready Responders solution to reduce unnecessary emergency room use and provide patients the right care, at the right time, at the right place. Our program promotes comprehensive health literacy interventions to empower patients toward self care, health system navigation, community engagement, and management of symptoms. Community Care is focused on changing the behavior and improving the quality of life for individuals identified as ER super users.
About the role
Our Community Care team is responsible for working directly with, and on behalf of, our patients who
would most benefit from care options other than a trip to the emergency room. The Community Care Coordinator will collaborate with a team of Community Care Medics (CCMs) to develop and implement effective solutions for the patients we serve.
The coordinator will identify patient-centered goals, eliminate barriers to improving health, and create sustainable connections to social service and medically relevant resources for each patient.
The Community Care Coordinator will perform the challenging duties to support the Community Care Director and CCMs in the field. The Coordinator will serve as a liaison between patients, Ready Responders, community partners, social service agencies, medical providers, and insurance coordinators.
This is an exciting opportunity to make a significant impact on our local healthcare system and directly change the lives of patients in need. The coordinator must be aware of the immense difficulties patients face when accessing care and managing chronic health conditions.
- Co-manage 50-75 high need individuals with complex social and physical health needs through unique care delivery model incorporating weekly home visits with Ready Responder Medic
- Engage with patients over the phone on regular basis to provide complimentary support to in home visits
- Act as a liaison between patients, medics, insurance care coordinators, medical providers, and members of patient’s care team to convey pertinent information regarding patient care in real time
- Foster lasting and trusting relationships; act as the point person for patients with significant needs
- Respect patients by recognizing their rights and maintaining confidentiality at all time
- Connect with people in a non-judgmental, respectful, and empathetic way at all times
- Identify necessary resources for patients to reduce impact of social determinants driving ER utilization (ie prescription assistance, childcare support services, same-day clinic appointment)
- Contribute newly identified resources to robust online data base partner Aunt Bertha
- Engage with community members and partners through outreach events such as health screenings, wellness fairs, and other partner related events; opportunity to identify additional outreach events
- Accompany medics on home visits as needed, most often but not limited to high needs patients
- Daily review of patient encounters in EMR to assess quality of interventions, data collection and appropriate goal plan implementation to address drivers of ER utilization
- Identify opportunity to remove additional barriers to care, and support unmet patient needs
- Provide ongoing support to medics to ensure effective care management
- Communicate patient progress, challenges, and success stories in weekly care team meetings
- Access protected health information (PHI) in accordance with departmental assignments and guidelines defining levels of access through GNOHIE, EPIC
Skills and Experience
- Bachelor’s degree in Public Health or related concentration OR Master’s degree in Public Health or Social Work with focus on community health or related topic (required)
- At least 2 years of professional experience in community health-related or clinical setting (required)
- Thorough understanding of social determinants impacting health and best practice to address
Demonstrated success with identifying patient needs and finding resources within the community to meet said needs
- Independent self-starter, leader, and a strategic thinker passionate about the big picture, ongoing evaluation and iteration of our care model
- Demonstrated proficiency with computers and various software programs. Comfortable learning new software, working with databases, and organizing data
- Strong analytical skills, and the ability to effectively apply them in stressful situations
- Ability to prioritize decisions and act quickly in the best interest of the patient
- Exceptional ability to build relationships and work well with a variety of individuals: your interactions are compassionate, courteous, cordial, cooperative, and professional.
- Ability to proactively anticipate and solve problems; you don't wait for someone to tell you to fix something, you already had a plan in place before it even broke
- Proven ability to independently manage multiple tasks at once, effectively prioritize in a fast-paced work environment to meet deadlines and schedule time efficiently
- Must be comfortable with ambiguity and able to work well without micromanagement
- Strong organization skills with fastidious attention to detail
- May occasionally need to work non-traditional hours based on operational or community needs
- Unwavering commitment to improving the health of New Orleanians and building community
Nice to have
- Experience navigating local healthcare system, and working with FQHCs
- Experience with Commercial and Medicaid insurance benefit navigation
- Experience working with individuals with chronic health conditions
- Experience promoting health literacy with high needs at-risk patient population