Contessa offers a unique opportunity for individuals interested in being part of an organization that is leading the country in redefining the way care is provided to patients. Contessa’s Home Recovery Care model brings all the essential elements of inpatient care to the comfort and convenience of a patient’s home. The model enables provider organizations and health plans to deliver high-quality, safe, and affordable care to patients with non-life-threatening conditions. At Contessa, you will have the opportunity to make a direct impact on the lives of patients and be at the forefront of shaping a pioneering space in the health care industry.
Contessa Health’s Palliative Care at Home is a community-based palliative care program for adults with serious illness and their caregivers offered by Contessa, designed to provide coordinated, high quality, in-home palliative care to patients with advanced life-limiting illness and their caregivers. Patients will be eligible to enroll in the program if they have an advanced life-limiting illness and have needs which could be addressed by the program.
The full clinical team will comprise community health workers, APPs, nurses, social workers, chaplains, clinical pharmacists, and physicians. The clinical team will work in collaboration with patients’ other healthcare providers to provide high quality, evidence-based palliative care in the home, supported by robust guidelines and care processes. Additional in-home services available to access include: other services to be offered, e.g. home X rays, labs, sonograms, EKG, & home specialties, e.g. podiatry, orthopedics, neurology, psychiatry, optometry.
The program is designed to improve symptoms and quality of life, reduce caregiver burden, and reduce unnecessary hospitalizations and ED visits.
We are seeking to recruit a dynamic and enthusiastic full-time community health worker to work within the Palliative team. Their responsibilities will include:
- Serving as a link between health and social care services and the community to improve access to services and improve the quality-of-care delivery
- Developing an understanding of the patient and caregivers’ illness understanding and health literacy
- Following up on goals of care discussions, and ensuring all care plans consider the importance of culture and literacy
- Monitoring patient and caregiver needs, including both symptom needs and home needs
- Working closely with the interdisciplinary team to address changes in patient symptoms and care needs
- Coordinating patient care, including helping with scheduling appointments and providing reminders and follow-up after appointments/hospitalizations
- Providing education on the importance of treatment adherence and use of medications
- Connecting patients with community-based resources and assisting with screening/enrollment procedures for such resources
- Providing psychosocial support, which may include informal supportive counseling and motivational coaching
- Promoting personal empowerment and patient/caregiver engagement in health, including navigation of the healthcare system
- Promoting literacy around health and social care problems and their management
- Educating patients and caregivers about the course of illness and helping them understand the disease trajectory and expected outcomes
- Expected working hours will be. Monday – Friday, regular business hours and as required for patient needs.
- High school education, GED, or equivalent
- Health Coaching Certification
- Certified Home Health Care Worker, or Home Health Aide (depending on local laws and regulations)
- At least 2 years of experience working with patients in a home-care environment
- Competence in management of problems experienced by patients with life-limiting illness
- Empathetic listener, ability to handle highly charged emotional situations
- Experience working with patients with serious illness and their families
- Excellent communication skills and ability to connect with patients and caregivers
- Experience and comfort working in home settings with patients and families, including those in difficult living conditions/environments
- Traits that include professionalism, a passion for palliative care, open and non-judgmental style, personal warmth, tact and patience with both professionals and patients and caregivers
- Experience working in interdisciplinary teams
- Working knowledge of medical terminology and the healthcare system
- Ability to ask both open-ended and specific questions during telephonic encounters with patients, and communicate concerns with clinical team members in an effective and timely manner
- A positive commitment to being part of a home-based palliative care program
- Ability to embrace a concurrent and long term palliative care philosophy and practice, particularly if already trained in the philosophy and practice of hospice or home health care
- Comfort discussing patients’ values, priorities, and preferences for care and representing these to the rest of the team
- Ability to act as an effective advocate for patients and caregivers
- Ability to work in highly emotionally charged situations with patients and families, while also monitoring their own reaction to patients with serious illness and their families
- Excellent time management and organizational skills
Desirable Skills / Experience
- Palliative care/hospice experience
- Advanced communication skills
Our team members are our greatest asset. That’s why you’ll find that Contessa has built a culture around trust, open communication, and a unified desire to change the way healthcare is being delivered. It’s important to us that you like your job, are motivated by the work you do every day and feel supported by leadership. Contessa offers a generous compensation and benefits package, a strong belief in a healthy work-life balance, and great opportunities for career growth.