Aspire Health is the nation’s leading non-hospice community-based palliative care provider. Aspire specializes in providing an extra layer of support to patients facing a serious illness through an ambitious palliative care program focused on caring for patients in their homes and outpatient clinics. Aspire’s clinicians are experts in providing patients with relief from the symptoms, pain, and stress of a serious illness; helping patients and caregivers navigate the healthcare system; guiding patients and caregivers through difficult and complex treatment choices; and providing emotional and spiritual support to patients and their families. Our core values are Clinical Excellence, Compassion, Teamwork, and Going the Extra Mile!
Ideal candidates will have experience with telephonic identification and coordination of needs in chronically ill patients and families, as well as providing clinical and administrative support to providers. Responsibilities will be highly varied, and appropriate candidates will be multitalented, flexible problem solvers who are eager to tackle complex problems and tasks.
Telephonic care coordination with palliative care patients and their families, including incoming calls about acute issues as well as proactive outgoing calls to build rapport with patients telephonically while educating on disease process, conducting goals of care conversations, and addressing acute issues. Assess, identify and close clinical and non-clinical gaps in patient care
Appropriate triage and escalation of routine, urgent and emergent patient needs. Clinical care coordination with PCP’s and other providers and specialists, including but not limited to:
Coordinate Aspire Nurse Practitioner home visit as needed
Coordinate with other providers regarding patient condition
Initiate clinical service orders on behalf of the patient
Update prescriptions and refill requests
Coordinate health plan authorization for Home Health, DME, Home Infusion and other services in conjunction with the Nursing Support Specialist . Medication management, including identifying potential medication issues, answering patient questions on side effects and medication conflicts, and coordinating refills. Coordination with Social Workers to help identify community resources and assist Aspire’s patients and families in accessing those resources. Refer patient to Aspire Health social worker and chaplain resources when appropriate. Provide comfort and reassurance to patients and family members. Participate in interdisciplinary team meetings as appropriate.
A successful candidate will have an active RN licensure (required). Minimum of 3 years clinical experience required, preferably in a multidisciplinary team environment. Prior healthcare experience serving chronically ill patients (preferred). Fluent in Spanish (preferred, but not required). Telephonic case management or care coordination experience a plus.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Strong customer-service orientation. Ability to be patient, compassionate and use a professional demeanor. Exceptional organizational skills and ability to multi-task. Self-starter with an entrepreneurial spirit and demonstrated problem solving skills. Strong writing, Word, Excel, and database management skills. Extremely strong work ethic. Must be able to work in a fast-growing, rapidly changing environment.