Clinical Outreach Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Engage in targeted outreach to patients to identify and resolve care gaps, ensure timely transitions in care, and provide immediate follow-up as necessary.

• Manage both inbound and outbound calls.

• Offer high-touch engagement for high-risk patients to prevent readmissions through post-discharge follow-ups, medication reconciliation, and care coordination.

• Organize labs, screenings, and subsequent appointments.

• Accurately document interventions, assessments, and medication reconciliation across multiple EHRs, ensuring compliance.

• Provide patient education and evaluate eligibility for concurrent programs.

• Address patients' reluctance or hesitation through education, empathy, and active listening.

• Achieve and maintain performance metrics.

• Work collaboratively with practices on Transitional Care Management, Osteoporosis Management in Women, ED follow-ups, and additional care-gap initiatives.

• Act as a clinical resource to promote collaboration and alignment with Aledade’s clinical programs.

• Collaborate with various teams to enhance patient engagement strategies and meet organizational objectives.

• Proactively address challenges, adapt strategies as necessary, and identify opportunities for process improvement.

⛳️ Requirements

• Certificate or Diploma in Practical Nursing or an Associate Degree in Nursing (ADN).

• Possession of a current and unrestricted LPN license.

• At least 2 years of clinical experience in case management or discharge planning.

• Experience with telephonic patient outreach and conducting clinical assessments.

• Proven ability to prioritize and manage high-acuity cases effectively.

• Strong communication and interpersonal skills are essential.

• Familiarity with electronic health records (EHRs) and population health tools.

• Ability to apply critical thinking and clinical judgment in complex and rapidly changing environments.

• Demonstrated adaptability and resilience in a fast-paced, evolving healthcare context.

• Capability to work both independently and collaboratively within an interdisciplinary team.

• Comfortable working remotely across different US time zones.

• Preferred: Experience in a remote working environment.

• Preferred: Active, unrestricted Registered Nurse (RN) license; Valid Compact RN license.

• Preferred: Experience in Value-Based Care.

• Preferred: Certification in Case Management (CCM, ACM) or Care Transitions.

• Preferred: Experience working with diverse and underserved populations.

• Prolonged periods of sitting at a desk and working on a computer may be required.

🏝️ Benefits

• Flexible work schedules and remote working options are available for numerous roles.

• Health, dental, and vision insurance covered up to 80% for employees, dependents, and domestic partners.

• Comprehensive time-off plan (21 days of PTO in the first year).

• Two paid volunteer days and 11 paid holidays each year.

• 12 weeks of paid parental leave for all new parents.

• Six weeks of paid sabbatical after six years of service.

• Educational Assistant Program and Clinical Employee Reimbursement Program available.

• 401(k) plan with up to 4% matching contributions.

• Stock options provided.

• Commitment to equal opportunity employment and fostering a diverse, inclusive workplace.

• Emphasis on a remote-first workplace culture.