Number of Job Openings Available:

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Job Summary:

Key Position Details:

• 8- 4:30 pm, M-F
• No weekends
• Travel regionally (East Metro - Minneapolis/St. Paul)
• Hybrid role out in the community

Job Description:

Principle Responsibilities

• Acts as the central facilitator to patients supported by the care team.
  • Transitions and supports patient through all stages of care.
  • Maintains and documents ongoing communications with patients and care team.
  • Collects and maintains patient data and reports to facilitate care.
  • Communicates with patients, families and providers to maintain coordination of care.
• Identifies and facilitates resolution to barriers.
  • Identifies barriers the patient may have to meeting health care goals and communicates with care team.
  • Assists patients in determining resources within system and the community.
  • Ensures connections were made and ongoing needs are met.
• Develops patient-driven goals and support patients care.
  • Works with patients to develop medical and no-medical goals.
  • Reinforces provider and care team communication about plan of care.
  • Engages family and/or friends to support care and goals.
  • Supports medication and treatment adherence as needed.
• Uses electronic medical record and other electronic tools for data gathering and interpretation.
• Incorporate appropriate behavior change techniques to empower patients to be active participants in their health.
  • Utilizes motivational interviewing techniques.
  • Provides behavior change mentorship to other team members or care guides as needed.
  • Other duties as assigned.

Job Requirements

• Must be 18 years of age with education and/or experience needed to meet required functional competencies as listed on the job description, and High school diploma or GED preferred
• Bachelor's degree in health care preferred
• 0 to 2 years of experience in customer service, health care or community-based role required
• Valid Driver's License required upon hire - MN and WI residents must obtain a valid driver's license in their state of residence within 60 days of employment for some departments

Physical Demands
Sedentary:
Lifting weight Up to 10 lbs. occasionally, negligible weight frequently