About the Role
The specialist will work directly with patients and families to guide them through care planning discussions, ensure accurate documentation of preferences, and facilitate communication across healthcare providers.
Responsibilities
- Engage with patients and caregivers to discuss healthcare decision-making
- Assist in documenting patient care preferences in compliance with regulations
- Serve as a liaison between patients, families, and healthcare teams
- Educate individuals on advance care planning options
- Ensure patient records are updated and accessible across care settings
- Respond to inquiries from healthcare providers regarding patient directives
- Maintain confidentiality and adhere to privacy standards
- Support implementation of care plans aligned with patient values
- Track and report engagement metrics accurately
- Participate in training programs to stay current on protocols
- Collaborate with clinical staff to resolve documentation discrepancies
- Follow up with patients to update preferences as health status changes
- Use electronic systems to manage patient records efficiently
- Advocate for patient autonomy in care decision-making
- Assist in developing patient-friendly educational materials
- Identify barriers to care planning and recommend solutions
- Conduct outreach to underrepresented communities
- Ensure compliance with state and federal documentation requirements
- Coordinate with legal and ethics teams when complex cases arise
- Maintain accurate logs of patient interactions
- Support quality improvement initiatives related to patient engagement
- Attend team meetings to share insights from patient interactions
- Escalate urgent patient concerns to appropriate personnel
- Promote consistent use of care planning tools across facilities
- Contribute to process improvements based on patient feedback
Nice to Have
- Certification in care coordination or patient advocacy
- Experience with EHR integration in care planning
- Background in social work or counseling
- Fluency in a second language
- Prior work in hospice or palliative care settings
- Familiarity with state-specific advance directive laws
- Experience training healthcare staff on care planning tools
Compensation
Competitive salary and benefits package
Work Arrangement
Hybrid
Team
Collaborative healthcare technology team focused on improving patient care coordination
Our Mission
We are dedicated to transforming how healthcare decisions are made by ensuring every individual’s care preferences are known, documented, and honored.
Impact
This role directly contributes to reducing unnecessary hospitalizations and ensuring care aligns with patient values, especially during critical health transitions.
Technology Platform
Specialists use a secure, interoperable digital system that connects patients, families, and providers to streamline care planning documentation.
Professional Development
Opportunities for growth include leadership roles, specialized training, and participation in national care planning initiatives.
Work Environment
The role involves a mix of remote work and in-person visits at care facilities, with flexibility to manage caseloads effectively.
Diversity and Inclusion
We prioritize equitable access to care planning resources and actively support outreach to underserved communities.
Performance Metrics
Success is measured by patient satisfaction, documentation accuracy, and timely follow-up on care plan updates.
Onboarding Process
New hires complete a comprehensive training program covering clinical protocols, software use, and communication best practices.
Community Engagement
Specialists often partner with community organizations to host educational workshops on advance care planning.
Ethical Standards
All team members are expected to uphold principles of patient autonomy, informed consent, and non-coercive decision support.
Not specified
