Care Guide Representative Job at Allina Health System
Department: 16007317 System CM ACT Advanced Care Team
Shift: Day (United States of America)
Hours: 40
Contract: Non-Union
Weekend Rotation: None
Job Profile Summary: Collaborates with the care team serving as the central facilitator to patients. Develops and maintains a relationship with the patient and utilizes this relationship to further the patient's medical and non-medical goals. Applies critical thinking skills in order to uncover barriers, develops patient-driven goals, guides and coordinates care according to a care plan, uses behavior change techniques to reinforce and support the plan, partners with care team to improve quality of care and health outcomes for patients and documents in the electronic medical record.
Job Description:
Additional Job Description:
Shift: Day (United States of America)
Hours: 40
Contract: Non-Union
Weekend Rotation: None
Job Profile Summary: Collaborates with the care team serving as the central facilitator to patients. Develops and maintains a relationship with the patient and utilizes this relationship to further the patient's medical and non-medical goals. Applies critical thinking skills in order to uncover barriers, develops patient-driven goals, guides and coordinates care according to a care plan, uses behavior change techniques to reinforce and support the plan, partners with care team to improve quality of care and health outcomes for patients and documents in the electronic medical record.
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
- High School or GED required and
- Bachelor's degree in health care preferred
- Less than 2 years of experience in customer service, health care or community-based role required
- Valid Driver's License for some departments upon hire required
Physical Demands
Sedentary:
Lifting weight Up to 10 lbs. occasionally, negligible weight frequently
Additional Job Description:
There are two positions available. One is with our Complex Care Management program (ACT- West metro team) and the other is for our Complex Care for Seniors program (South Metro region)
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