Job Summary and Responsibilities

Patient Resource Specialists (PRS) are responsible for evaluating and maintaining continuity of care as a member of the clinical care team within High Country Community Health’s (HCCH’s) Patient Centered Medical Home model of care. These duties include: new patient orientations, conducting comprehensive assessments of the patient’s health needs (including discovering and discussing potential barriers to adhering to treatment guidelines as well as ensuring patients understand their treatment recommendations/plans), coordinating follow-up outpatient visits at time of hospital discharge, educating patients and clinicians about barriers to health (including BH) improvement/ community resources/insurance benefits/others to assist with informed decision making, representing HCCH at community events such as health fairs, discussing the consumer’s care plan with the client/family/professionals as needed, facilitating communication and coordination among members of the patient’s care teams, involving the patient in decision-making processes, problem solving and exploring options for improving care, assisting patients in safely transferring their care information among settings as needed, advocating for quality care, and encouraging patients to self-advocate for their needs. The PRS develops and maintains working relationships with other community agencies, services, businesses and facilities. Additionally, the PRS will transport consumers to and from HCCH appointments as needed/as available.

Role on Care Team:

The PRS is an integral member of the care team. As such, the PRS supports the care team by providing patients with information and assistance in accessing community resources. Patient needs may include but are not limited to housing, nutrition, medication, legal aid, transportation, finances, employment or even honing skills in managing the demands of daily life. The PRS actively participates in daily team huddles and weekly treatment team meetings. The PRS is available to be consulted and/or activated by any member of the care team to assist a patient.

Requirements/Qualifications/Skills/Experience

Graduated from an accredited college or university with an appropriate degree relevant to the role, with a social work degree preferred or an equivalent, relevant combination of education and experience preferred.

A minimum of two years’ experience in a behavioral health and or medical setting (Qualified Professional [QP] status) preferred. Valid NC driver’s license and good driving record. Demonstrated ability to collaborate effectively in a team setting.

Equipment Operated: Computer hardware/software including Microsoft Office Suite and electronic health record

Work Environment: Medical office and exam room settings, occasional home visits, community events, off site meetings. Occasional exposure to communicable diseases, biohazards, and other conditions common to clinic. Frequent contact with variety of people.

Mental/Physical Requirements: Involves standing, sitting, walking, bending, stooping, and twisting.

Travel Requirements

Provides patients with transportation for HCCH appointments as needed and as available. Company car may be used when available.