HarmonyCares

Bilingual

• Placing a high volume of outbound calls to secure an appointment with a licensed Nurse Practitioner
• Answer incoming calls from members and case managers as well as return voice mail messages
• Contacts Health Plan members to secure appointments with field providers
• Follow specific talking points and protocols associated with member outreach calls
• Schedule visits efficiently using scheduling software
• Demonstrate excellent customer service skills
• Utilize exceptional communication and social skills
• Conduct follow up calls to members prior to scheduled visits
• Confirm and verify all demographic and contact information as well as follow HIPAA guidelines
• Verify member’s insurance active status and enter information during patient registration
• Escalate problems or concerns to the manager
• Meet performance standards and departmental goals

Outreach Specialist I, Bilingual

Risk

• Conduct comprehensive in-home health risk assessments to identify all active and chronic disease conditions, as well as determine all physical, mental, and social needs present at the time of the visit
• Takes history, examines, determines diagnoses.
• Provides written documentation of patient visit, per NCQA standards
• Takes patient vital signs, as necessary.
• Places case management referrals and communicates with PCP as necessary.
• Communicates with patients, caregivers, agency nurses, other providers and vendors as necessary to assure proper diagnosis.
• Performs all clinical duties while observing OSHA Universal Precautions
• Maintains patient confidentiality
• Attends required meetings and in-services and participates in committees, as requested
• Participates in professional development activities and maintains professional licenses and affiliations

Nurse Practitioner, Telehealth, Health Risk Assessments

Account Manager

• Serve as the primary executive relationship owner for HarmonyCares' Medicare Advantage plan partners
• Build trusted, durable relationships with senior stakeholders at client organizations, including medical directors, network executives, and value-based care leaders
• Proactively identify client needs, surface opportunities for deeper collaboration, and address issues before they escalate
• Translate client needs into HarmonyCares’ actions and proactively solve problems in client service both withing account management team and collaborating with other HarmonyCares functions and team
• Lead regular business reviews, reporting on performance metrics, clinical outcomes, and partnership value
• Oversee the end-to-end implementation process for new client launches in new and existing markets
• Partner cross-functionally with clinical operations, data/analytics, and market teams to ensure launches are executed on time and to contract specifications
• Develop and refine implementation playbooks to drive consistency and efficiency across engagements
• Proactively identify issues in implementation process and solve problems to keep implementations on track and enhance client experience
• Manage and develop a team of account management professionals
• Set clear goals, provide ongoing coaching, and create a culture of accountability and excellence
• Build team capacity to scale with organizational growth
• Translate client feedback and market intelligence into actionable insights for internal strategy and product development
• Work with claims and other health care data to track performance, demonstrate value, and identify opportunities for improvement
• Support contract renewals and new business development activity in partnership with the SVP and business development team

VP, Account Management

Affiliate Manager

• Assist Harmony Cares Primary Care Physician, Nurse Practitioners and Clinical Teams in the delivery of primary health care and patient care management in a residential setting
• Supports mission, vision and core values which include but not limited to delivering compassionate support, attention and assistance to patients, families and members of the team
• Support Patient Care through Clinical Partnership with Nurse Practitioners, Physicians, and Care Management Teams
• Coordinates daily travel itinerary and transports clinicians to scheduled appointments
• Prepares patients for examination and treatment; May at times include preparing patients for minor procedures
• Secures patient consent forms, records patient care documentation accurately and in a timely manner
• Coordinates patient care as directed by Clinicians, company standards and policies
• Respects patient confidentiality at all times and treats patients with courtesy and respect
• Performs phlebotomy (venipuncture only), EKG or any other procedure as requested by Clinician
• Labels, stores and properly packages specimens for lab delivery
• Assists in identifying and closure of quality gaps
• Documentation and updating of patient care plans, as well as SDoH (Social Determinants of Health) and other assessments within the patient chart or electronic medical record
• Prepares and maintains supplies and equipment for treatment (supply inventory, medical bag and car) (where applicable)
• Ensure company vehicle is clean and proper periodic maintenance schedule is followed (where applicable)
• Attends required meetings and in-services

Medical Assistant – Clinical Partner

• Assist Harmony Cares Primary Care Physician, Nurse Practitioners and Clinical Teams in the delivery of primary health care and patient care management in a residential setting
• Supports mission, vision and core values which include but not limited to delivering compassionate support, attention and assistance to patients, families and members of the team
• Support Patient Care through Clinical Partnership with Nurse Practitioners, Physicians, and Care Management Teams
• Coordinates daily travel itinerary and transports clinicians to scheduled appointments
• Prepares patients for examination and treatment; May at times include preparing patients for minor procedures
• Secures patient consent forms, records patient care documentation accurately and in a timely manner
• Coordinates patient care as directed by Clinicians, company standards and policies
• Respects patient confidentiality at all times and treats patients with courtesy and respect
• Performs phlebotomy (venipuncture only), EKG or any other procedure as requested by Clinician
• Labels, stores and properly packages specimens for lab delivery
• Assists In identifying and closure of quality gaps
• Documentation and updating of patient care plans, as well as SDoH (Social Determinants of Health) and other assessments within the patient chart or electronic medical record
• Required to maintain compliance with CLIA (Clinical Laboratory Improvement Amendments), OSHA, and HIPPAA guidelines
• Prepares and maintains supplies and equipment for treatment (supply inventory, medical bag and car) (where applicable)
• Ensure company vehicle is clean and proper periodic maintenance schedule is followed (where applicable)
• Attends required meetings and in-services

Clinical Partner

Nurse Practitioner, PRN Health Risk Assessments

• Conduct outbound calls to eligible patients and working to facilitate efficient scheduling of initial in-home appointments
• Ensure patients receive a detailed explanation of program services
• Thoroughly and accurately document call notes and scheduling details in electronic system
• Expedite emergency clinical calls as needed
• Process new appointments or changes to existing appointments
• Document accurate and concise patient/family feedback and special needs during each call in our systems, enabling our market-based clinicians to provide excellent care during each appointment
• Must achieve and sustain expected metrics set by department leadership to include but not limited to: Quality Scores, Acceptance Rates, Number of Patients Engaged and Alignment with Harmony Care Core Values
• Demonstrate compassion for individual needs, attention to detail, and collaborating with other team members
• Demonstrate a high level of professionalism and continuous improvement while participating in the call quality monitoring processes
• Utilizes exceptional communication and social skills to clearly explain services and needs to patient/family
• Complete ongoing training and coaching programs for further skills development by deadlines
• Work collaboratively and efficiently with other corporate and market based team members to ensure patients receive exceptional service
• Perform other duties as assigned

Patient Engagement Specialist, Bilingual

• Placing a high volume of outbound calls to secure appointments with a licensed Nurse Practitioner
• Answering incoming calls from members and case managers
• Returning any voice mail messages in a timely manner
• Securing visits via scheduling software efficiently
• Demonstrating excellent customer service skills
• Explaining the importance of completing the annual assessment
• Conducting follow up calls to members prior to scheduled visits
• Confirming and verifying demographic and contact information
• Escalating any problems or concerns associated with field providers to the manager
• Meeting set performance standards and departmental goals

Outreach Specialist I, Bilingual Spanish

Manager

• The Nurse Care Manager is an integral member of the care team and is vital to enhancing the health outcomes of HCMG patients.
• This position will manage a caseload of high-risk patients where he/she is responsible for managing their care and barriers.
• Coordinates care services with pod leader to ensure that patients have access to a comprehensive set of services tailored to their needs throughout their healthcare journey.
• Works collaboratively within the care team to develop and manage personalized care plans, address care gaps, and engage with other resources to ensure access to care.
• Coordinates the transition of care for patients throughout the continuum to ensure patient needs are met accordingly and to ensure that avoidable hospital admissions do not occur.
• Coordinates and facilitates High Risk Huddles along with ensuring that follow-up actions are completed.
• Prioritizes patients based on the severity and urgency of their conditions to ensure that the most critical cases receive immediate attention.
• Reviews medical records to identify gaps in care and coordinate services with the care team to manage these issues.
• Regularly updates patient care plans.
• Performs thorough nursing assessments via telephone of patients to maximize or improve current health outcomes.
• Provides education to patients and/or their caregivers on disease education, medication, health maintenance, and disease prevention to promote self-management and improve health outcomes.
• Demonstrates strong clinical skills, critical thinking abilities, and effective communication in their interactions with patients, caregivers, providers, fellow care team members, etc.
• Documents necessary interactions, assessments, updates, etc. in patient’s medical records according to processes and guidelines.
• Serves as liaison between patients, providers, resources, etc. to ensure seamless care delivery.
• Facilitates communication of patient status and plan of care during transitional experiences such as home to hospital, hospital to post-acute care and back to home.

RN Nurse Care Manager

• Assist Harmony Cares Primary Care Physician, Nurse Practitioners and Clinical Teams in the delivery of primary health care and patient care management in a residential setting
• Supports mission, vision and core values which include but not limited to delivering compassionate support, attention and assistance to patients, families and members of the team
• Support Patient Care through Clinical Partnership with Nurse Practitioners, Physicians, and Care Management Teams
• Coordinates daily travel itinerary and transports clinicians to scheduled appointments
• Prepares patients for examination and treatment; May at times include preparing patients for minor procedures
• Secures patient consent forms, records patient care documentation accurately and in a timely manner
• Coordinates patient care as directed by Clinicians, company standards and policies
• Respects patient confidentiality at all times and treats patients with courtesy and respect
• Performs phlebotomy (venipuncture only), EKG or any other procedure as requested by Clinician
• Labels, stores and properly packages specimens for lab delivery
• Assists in identifying and closure of quality gaps
• Documentation and updating of patient care plans, as well as SDoH (Social Determinants of Health) and other assessments within the patient chart or electronic medical record
• Required to maintain compliance with CLIA (Clinical Laboratory Improvement Amendments), OSHA, and HIPPAA guidelines
• Prepares and maintains supplies and equipment for treatment (supply inventory, medical bag and car) (where applicable)
• Ensure company vehicle is clean and proper periodic maintenance schedule is followed (where applicable)
• Attends required meetings and in-services

Patient Engagement Specialist – Bilingual Portuguese

Analyst

• Develop and maintain provider schedules to meet patient needs.
• Manage provider census through proactive census risk management.
• Manage market census to ensure the right patients are seen at the right time based on HarmonyCares risk tiering and inactivation process.
• Collaborate with local leadership to maximize scheduling system and ensure patient requests are communicated.
• Maintain relationships and effectively communicate HarmonyCares services with patients and family members.
• Place and receive phone calls to facilitate effective scheduling function.
• Escalate scheduling concerns, and issues, both internally and externally
• Adhere to patient confidentiality policies and procedures.
• Attend required meetings and in-services.
• Collaborate with manager, teammates, and other HarmonyCares employees.
• Perform other duties as required.

HarmonyCares

Outreach Specialist I, Bilingual

Nurse Practitioner, Telehealth, Health Risk Assessments

VP, Account Management

Medical Assistant – Clinical Partner

Medical Assistant – Clinical Partner

Clinical Partner

Nurse Practitioner, PRN Health Risk Assessments

Patient Engagement Specialist, Bilingual

Outreach Specialist I, Bilingual Spanish

RN Nurse Care Manager

Medical Assistant – Clinical Partner

Medical Assistant – Clinical Partner

Patient Engagement Specialist – Bilingual Portuguese

Scheduling Analyst

Scheduling Analyst