Advance Care Planning Facilitator

Evolent Health, Inc. Raleigh , NC 27611

Posted 3 months ago

It's Time For A Change Your Future Evolves Here

Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans.

Are we growing? Absolutely about 40% in year-over-year revenue growth in 2018. Are we recognized? Definitely. We have been named one of "Becker's 150 Great Places to Work in Healthcare" in 2016, 2017, 2018 and 2019, and One of the "50 Great Places to Work" in 2017 by Washingtonian. We recognize employees that live our values, give back to our communities each year, and are champions for bringing our whole selves to work each day. If you're looking for a place where your work can be personally and professionally rewarding, don't just join a company with a mission. Join a mission with a company behind it.

Who You'll Be Working With

Evolent Health is seeking an Advance Care Planning Facilitator to be a core member of the clinical team of nurses, social workers, and program coordinators for our internal start-up business, Evolent Care Partners. Evolent Care Partners' mission is to partner directly with primary care organizations across the country to improve patient outcomes and reduce avoidable healthcare costs. We are a lean, nimble, and fast-paced team looking for strong team members with a passion for improving healthcare.

In this role, your primary responsibility will be to form meaningful relationships with elderly patients and their families to support them in their healthcare decision-making. Through frequent telephonic interactions, you will help patients express their goals and preferences for their medical care, then communicate these preferences with their families, their doctors, and the healthcare system. Through this role, you will have the opportunity to make a profound impact on the lives of people living with complex and/ or chronic conditions.

What You'll Be Doing

  • The Advance Care Planning (ACP) Facilitator will be responsible for providing compassionate support for patients and their families.

  • Provide telephonic outreach to patients and families in order to best understand long-term wishes and complete advanced care planning.

  • Provide support and expertise to patients and families during decision making process and support whatever choices are made.

  • Work with patient and family to ensure understanding of health situation(s), treatment choices, long-term options, and legal requirements for end-of-life planning.

  • Provide clear, appropriate, and accurate documentation for patient healthcare decision making and advanced care planning.

  • The ACP Facilitator will work cross-functionally with the patient's care team, including RN care advisors, primary care providers, specialists, and facility providers, to ensure that end-of-life wishes are appropriately documented and communicated.

  • Measure, maintain, and improve quality outcomes and key performance indicators.

  • Collaborate across the ECP team and participate in clinical initiatives as needed.

  • Inform the design and improvement of the Advance Care Planning program, including enhancements to assessments, trainings, and workflows

  • Contribute to a culture of all team members feeling valued and respected; always maintain Evolent values of high performance, collaboration, accountability, and continuous improvement

The Experience You'll Need (Required)

  • Four-year degree in Social Work or a similar human service field.

  • Minimum of 2 years of experience working with seniors, especially patients and families in hospice, palliative, SNF, long-term nursing care, or medical facility

  • Comfort in patient empowerment; familiarity of Motivational Interviewing (MI)

  • Exceptional phone skills and a strong, independent work ethic

  • Basic computer skills and ability to utilize an Electronic Health Record (EHR) for managing caseload and all documentation

  • Comfort discussing issues concerning advanced illness, death, and dying

  • Ability to remain objective while discussing sensitive topics

  • Ability to create an atmosphere of trust that respects privacy and confidentiality, allowing clients to freely express their concerns and feelings

Finishing Touches (Preferred)

  • Successful licensure as an LBSW, LSW, LGSW, or CSW or applicable state-specific title for licensed Bachelor of Social Work, behavioral health license, or license eligibility.

  • Good standing with licensing board and no disciplinary action on record.

  • Training and experience in end-of-life care

  • Knowledge and/or experience in hospice or palliative care

  • Experience with empowering clients to address their future healthcare situation and end-of-life decisions in a proactive rather than reactive manner

  • Experience with assisting individuals in critically analyzing the values underlying their assumptions, their healthcare decisions, and the possible outcomes of those decisions

  • Understanding of systems theory and cultural competency

Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.


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Advance Care Planning Facilitator

Evolent Health, Inc.