Post-Enrollment ACP Facilitator
Rn or Lsw, Remote
Posted on 3/24/2023
INACTIVE
Aledade

1,001-5,000 employees

Empowers primary care practices with value-based solutions
Company Overview
Aledade, Inc. stands out as a leading network of independent primary care, offering robust support to practices through its unique model that combines advanced data analytics, user-friendly workflows, and health care policy expertise. The company's commitment to the success of independent practices is demonstrated through its strong payer relationships and integrated care solutions, which enable physicians to thrive financially while focusing on patient health. With over 1,500 practices across 45 states and the District of Columbia, Aledade's shared risk and reward model, managing over 2 million patient lives, showcases its industry leadership and its significant role in the evolving healthcare landscape.
AI & Machine Learning
Data & Analytics

Company Stage

Series F

Total Funding

$657.6M

Founded

2014

Headquarters

Bethesda, Maryland

Growth & Insights
Headcount

6 month growth

2%

1 year growth

16%

2 year growth

87%
Locations
Austin, TX, USA
Experience Level
Entry
Junior
Mid
Senior
Expert
Desired Skills
Communications
Requirements
  • Must have active and unrestricted licensure as a Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW), meeting all state certification and licensing requirements for the state the candidate works in
  • Minimum of two (2) years of nursing or social work experience related to management of chronic or terminal conditions in a healthcare setting
  • Must be available to work Monday-Friday during regular business hours (flexible) and occasional evenings
  • Demonstrated compassion and empathy
  • Excellent phone/video communication skills
  • Knowledge of serious medical conditions (such as COPD, CHF, cancer, dementia, cirrhosis, ESRD, etc.) and their progression
  • Demonstrated ability to collaborate and communicate effectively in an interdisciplinary team setting
  • Tech savvy
  • Experience in Motivational Interviewing preferred
  • Preference shown for expertise in advance care planning conversations or experience caring for those with serious illnesses in a longitudinal fashion (hospice/palliative care)
Responsibilities
  • To support work-life balance and fulfillment, this position offers flexibility in scheduling, is fully remote, and provides opportunities for advancement. The ideal candidate will:
  • Prepare for member encounters by reviewing EHR and pertinent notes
  • Conduct structured, guided, advance care planning conversations in an empathetic manner consistent with person-centered care
  • Draft Iris proprietary documents as well as state specific advance care planning documents utilizing Iris' technology
  • Document member encounters in the EHR
  • Actively utilize 1:1 supervision, group supervision, team meetings and on-going learning and development offerings associated with the role
  • Provide ongoing feedback to supervisors regarding the member experience
  • Ongoing engagement with patients enrolled in Comprehensive Advance Care Planning (CACP). This includes but is not limited to follow up facilitations, managing large caseloads, periodic patient check ins, ongoing education/ document revisions, quick case conceptualization and ability to offer any CACP topic
  • Same Day/Straight Through Facilitations
  • SOS coverage (when needed & staff is able)