Overview

Cares for patients as part of a care management program. Responsible for patient caseloads through in-person, telephonic, and electronic communications. Conducts outreach calls with patients and caregivers to encourage program participation. Assists patients with self-care needs including addressing language and cultural barriers as well as coaching patients to meet personal and clinical goals. Identifies patients in need of intensive case management. Supports patients in scheduling provider visits, arranging transportation, and creating office visit agendas (what to ask, what to expect, etc). Educates patients about preventative monitoring and caregivers about system response plans. Helps patient access community and governmental based service agencies including possibly filling out patient paperwork. Documents activities and reconciles patient information to support productivity of clinical care team. Collaborates with the multidisciplinary clinical care team. Administers program evaluation and conducts patient interviews. Evaluates program processes and provides recommendations for improvement. 

• High school diploma or equivalent required. Bachelor's degree preferred. 
• MA, LPN, BSW, or Clinical Dietitian and appropriate accreditation/licensure preferred. 
• Experience working with patients who have chronic and behavioral health needs. 
• Demonstrated experience working as part of a multidisciplinary clinical team.

We are an equal opportunity employer and value diversity and inclusion at IU Health. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.