Program Associate, Clover Care Services
Program Associate, Clover Care Services
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Job Description
The Clover Care Services organization delivers proactive support and care to our members through our clinical Clover Home Care teams and quality improvement services to our aligned providers through our practice engagement team. Clover has built one of the most proactive datadriven health care services platforms and is excited about how technology impacts our ability to bring transformative results to both patients and providers.
The Program Associate Clover Care Services (CCS) will support the Dialysis Care Management (DCM) Program ensuring comprehensive care for Clover Health members with ESRD receiving dialysis. This role focuses on member outreach care coordination transportation assistance appointment management and addressing nonadherence to improve health outcomes and member satisfaction. This is a hybrid role working from home with the expectation of conducting field visits weekly.
As a Program Association CCS you will:
- Initiate outreach to newly identified and existing targeted Clover Medicare Advantage (MA) plan members.
- Introduce the DCM program explain benefits and conduct needs assessments.
- Collaborate with members to address any barriers to completing appointments including transportation scheduling and overall provider satisfaction.
- Provide education to members on dialysis adherence.
- Build relationships with dialysis providers to track completed and missed appointments.
- Followup with members for missed appointments to understand reasons and offer assistance as needed including transportation services and scheduling assistance.
- Identify chronically nonadherent members and engage to uncover barriers.
- Schedule followup appointments with CCS providers as needed.
- Refer members to Supportive Care or Behavioral Health for clinical decline or reconsideration of hemodialysis continuation.
- Document assessments in the electronic medical record and maintain accurate records in the program tracker.
- Work collaboratively with internal and external resources including providers and behavioral health specialists pharmacists nephrologists and dialysis center care managers.
- Monitor reports and dashboards to identify trends and discover opportunities for improvement.
- Take on other projects duties and responsibilities as may be assigned.
You should get in touch if:
- You have at least 2years of related work experience and hold the following degrees or certifications:
- Current and valid Compact LPN or RN license (required).
- High School Graduate/GED/Equivalent Work or Vocational/Technical School/Diploma (required).
- Current Basic Life Support (BLS) (required).
- You have case management or care coordination experience.
- You are able to communicate fluently in English and Spanish both orally and in writing (Preferred).
- You have a valid drivers license and have access to a vehicle (required).
- You are proficient in computer use and have experience using EMRs Athena preferred.
- You are comfortable working with members of diverse social ethnic and cultural backgrounds.
Benefits Overview:
- Financial WellBeing: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally we offer a performancebased bonus program 401k matching and regular compensation reviews to recognize and reward exceptional contributions.
- Physical WellBeing: We prioritize the health and wellbeing of our employees and their families by providing comprehensive medical dental and vision coverage. Your health matters to us and we invest in ensuring you have access to quality healthcare.
- Mental WellBeing: We understand the importance of mental health in fostering productivity and maintaining worklife balance. To support this we offer initiatives such as NoMeeting Fridays monthly company holidays access to mental health resources and a generous flexible timeoff policy. Additionally we embrace a remotefirst culture that supports collaboration and flexibility allowing our team members to thrive from any location.
- Professional Development: Developing internal talent is a priority for Clover. We offer learning programs mentorship professional development funding and regular performance feedback and reviews.
Additional Perks:
- Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
- Reimbursement for office setup expenses
- Monthly cell phone & internet stipend
- Remotefirst culture enabling collaboration with global teams
- Paid parental leave for all new parents
- And much more!
About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken so weve created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.
We always put our members first and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and missiondriven individuals with diverse areas of expertise working together to solve the most complicated problem in the world: healthcare.
From Clovers inception Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths experiences perspectives opinions and backgrounds who share a passion for improving peoples lives. Diversity not only includes race and gender identity but also age disability status veteran status sexual orientation religion and many other parts of ones identity. All of our employees points of view are key to our success and inclusion is everyones responsibility.
#LIRemote
Pursuant to the San Francisco Fair Chance Ordinance we will consider for employment qualified applicants with arrest and conviction records. We are anEVerify company.
A reasonable estimate of the base salary range for this role is $22 to $32/hour. Final pay is based on several factors including but not limited to internal equity market data and the applicants education work experience certifications etc.
Required Experience:
IC
Employment Type
Hourly
