Clinical Outreach Specialist

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🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 10%

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Aledade, Inc.

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2014

🏥 Healthcare

⚕️ Healthcare Insurance

🏢 Enterprise

Healthcare • Healthcare Insurance • Enterprise

Aledade, Inc. is a public benefit corporation that operates as the largest network of independent primary care practices in the United States. The company specializes in Accountable Care Organizations (ACOs), which help primary care practices and health centers improve patient outcomes and generate sustainable revenue through value-based care solutions. Aledade offers data insights, support, and business solutions to achieve sustainability and clinical autonomy. It collaborates with a wide range of healthcare providers, including primary care practices, community health centers, and network ACOs, ensuring improved quality of care and patient satisfaction. With operations in 45 states and affiliations with over 20,000 clinicians serving more than 2. 5 million patients, Aledade is committed to reducing care fragmentation and enhancing the overall quality of life for clinicians and patients alike.

📋 Description

• Conduct targeted patient outreach to address and close care gaps, ensure timely care transitions, and provide immediate follow-up as needed • Perform inbound and outbound calls • Deliver high-touch engagement for high-risk patients to prevent readmissions through post-discharge follow-up, medication reconciliation, and care coordination • Coordinate labs, screenings, and follow-up appointments • Document interventions, assessments, and medication reconciliation across multiple EHRs while maintaining accuracy and compliance • Provide patient education and assess eligibility for concurrent programs • Address patient reluctance or hesitation through education, empathy, and active listening • Meet and sustain performance metrics • Collaborate with practices on Transitional Care Management, Osteoporosis Management in Women, ED follow-ups, and other care-gap initiatives • Serve as a clinical resource to foster collaboration and alignment with Aledade’s clinical programs • Collaborate across teams to support patient engagement strategies and organizational goals • Address challenges proactively, adapt strategies as needed, and identify process-improvement opportunities

🎯 Requirements

• Certificate or Diploma in Practical Nursing or Associate Degree in Nursing (ADN) • Current and unrestricted LPN license • Minimum of 2 years clinical experience in case management or discharge planning • Experience with telephonic patient outreach and clinical assessments • Demonstrated ability to prioritize and manage high-acuity cases • Excellent communication and interpersonal skills • Experience with electronic health records (EHRs) and population health tools • Critical thinking and clinical judgement in complex and rapidly changing environments • Adaptability and resilience in a fast-paced, evolving healthcare setting • Ability to work both independently and as part of an interdisciplinary team • Comfortable working remotely/work from home across US time zones • Preferred: Experience in a remote 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

🏖️ Benefits

• Flexible work schedules and the ability to work remotely are available for many roles • Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners • Robust time-off plan (21 days of PTO in your first year) • Two paid volunteer days and 11 paid holidays • 12 weeks paid parental leave for all new parents • Six weeks paid sabbatical after six years of service • Educational Assistant Program and Clinical Employee Reimbursement Program • 401(k) with up to 4% match • Stock options • Equal opportunity employment and a diverse, inclusive workplace • Remote-first culture