Health Partner

About this role

Primary City/State: Fort Collins, Colorado

Department Name:

Work Shift: Day

Job Category: Clinical Care

Find your path in health care. We want to change the lives of those in our care – and the people who choose to take on this challenge. If you’re ready to change lives, we want to hear from you.

Banner Plans & Networks (BPN) is an integrated network for Medicare and private health plans. Known nationally as an innovative leader, BPN insurance plans and physicians work collaboratively to keep members in optimal health while reducing costs. Supporting our members and vast network of providers is a team of professionals known for innovation, collaboration, and teamwork. If you would like to contribute to this leading-edge work, we invite you to bring your experience and skills to BPN.

As a Health Partner , you will receive referrals from assigned provider clinics and provide telephonic support to patients in need of social services and community resources. You will assist with care coordination, address social determinants of health, discuss advance care planning, and support pediatric and adult populations. The role includes documenting patient interactions, closing care gaps, and helping patients navigate available resources. Additionally, this position regularly rounds on-site at various clinics throughout Northern Colorado to build provider relationships, facilitate referrals, and support patient care coordination efforts.

This is a hybrid role with approximately 15% of the time on-site in Northern Colorado.   CANDIDATES MUST RESIDE IN THE STATE OF COLORADO TO BE CONSIDERED . An ideal candidate will reside in Northern Colorado. Work shifts will be 8:00 a.m.-5:00 p.m. Monday-Friday. If this role sounds like the one for you, Apply Today!

POSITION SUMMARY This position will be responsible to manage members with high risk, chronic complex conditions, rising risk, and acute conditions in the delegated populations. The Health Partner will be the main point of contact for members and providers across care settings. The aim is to better manage members in a home-based setting providing a variety of support functions which contribute to the overall improvement in members’ healthcare quality of life as well as efficient use of resources. Engages the appropriate resources within the multidisciplinary team to achieve optimal results for the member, family, and care givers. This position provides comprehensive care coordination for members as assigned. This position ensures adherence to the plan of care and develops, implements, monitors, and documents the utilization of resources and progress of the member through their care, facilitating options and services to meet the members’ health care needs.

CORE FUNCTIONS 1. Manages individual patients across the health care continuum (longitudinal support) to achieve the optimal clinical, financial, operational, and satisfaction outcomes. Coaches members regularly regarding disease related symptom management. Advises members on lifestyle choices to improve prognosis and overall health. Provides patient monitoring, education, and supports patient care plan adherence.

2. Provides self-management support. Including, but not limited to; using checklists and escalating as prescribed by protocols, promoting healthy behaviors, imparting problem-solving skills, and assisting with the emotional impact of chronic illness, providing regular follow up and encouraging members to be active participants in their care.

3. Applies the skills of motivational interviewing to promote the above lifestyle changes and member enrollment and participation in case management programs Provides emotional support by showing interest, inquiring about emotional issues, showing compassion, and teaching compassion.

4. Establishes and promotes a collaborative relationship with physicians, payers, and other members of the health care team. Collects and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements. Bridges gaps between the member and the clinical team including but not limited to following up with members, asking about needs and obstacles, and addressing health literacy, cultural issues, and social-class barriers.

5. Meets and accompanies the member and family to their initial appointments and/or conducts in-home assessments based on members’ needs. Assists members in navigating the health care system by connecting resources, facilitating support, and empowering the member.

6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice. Interacts with all levels of staff in a variety of departments, physicians, payers, members, families, and external contacts, such as employees of other health care institutions, community providers, and agencies, concerning the health care and case management needs of the member. Interacts with other health care providers in numerous settings to report and ask for or clarify information. Synthesizes and prioritizes data from multiple sources to provide support for the human response of the member and family to changes in health status.

7. Contributes to society through activities that lead to excellent member outcomes through timely, effective, efficient, equitable, and safe care. Actively participates in the improvement of national social worker and case management quality indicators and outcomes. Such activities may include participating in professional organizations.

8. Provides assessment and interventions in scope of practice based on the best evidence available and may participate in research activities within clinical /case manager practice. Participates in unit or facility- based workgroups. Interacts and participates in the education, role development, and orientation of facility personnel, members, students, families, and visitors. Promotes/supports growth of others through

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