Accompany Health is on a mission to give low-income patients with complex needs the dignified, high-quality care they deserve but rarely receive. A primary, behavioral, and social care provider, Accompany Health walks alongside patients for their entire care journey, offering at-home and virtual care, as well as 24/7 support. Partnering with innovative payors, Accompany Health is powered by remarkable care teams, elegant technology, and a commitment to evidence-based practice. 

We build long-term relationships with our patients so they know, without question, that our team is here for them day or night, year after year. We focus on the health outcomes most important to our patients to make it clear that they lead the way.

To achieve our mission, we collaborate with community-based organizations, local providers, and health plans. Led by our empathetic care teams, guided by proven care models, and powered by our own technology, we deliver a level of service that our communities rightfully deserve but rarely receive. 

While our headquarters is in Bethesda, MD, our teams are distributed across the country. If you’re eager to make a tangible difference in people’s lives, to help correct long-standing disparities in health care, join us. 

About the role:

Accompany Health Care Team Managers serve a critical role in our Integrated Care Teams, which also include Physicians, Advanced Practice clinicians, Community Health Workers, Patient Experience Navigators, RNs, Social Workers, Behavioral Health Clinicians, Psychiatrists, and Pharmacists. Together this team is responsible for providing and coordinating care for an intimate panel of patients in their homes, community, and virtually. 

As a Care Team Manager, you will directly supervise our Community Health Workers who are responsible for building trusting longitudinal relationships with their patients, engaging in health coaching to support behavior change to achieve patient goals, providing psychosocial support, and navigating to social determinants of health resources. 

You will also serve as the “glue” for our Integrated Care Teams; together with the physicians and advanced practice clinicians on their teams, you will ensure that our patients have an appropriate holistic care plan that is tailored to their medical, behavioral, and social needs and drive coordination of all team members in achieving these goals. 

You will also partner closely with our Market Operations Manager to help our teams achieve the highest standards of patient care and experience. Together you will coordinate daily clinical operations with your team, handle team schedules, and implement operational changes.

Responsibilities will include:

• Supervising and managing Community Health Workers, including, ensuring appropriate patient goal creation and progress, resolving problems or barriers, and ensuring timely and appropriate documentation. This will include performing 1:1 in-person observations as well as case and chart reviews on a regular basis.
• Managing your broader CHW team, including team-building activities, peer support, coverage schedules, and problem-solving to address their needs.
• Leading weekly and multidisciplinary case conference huddles in conjunction with the physician on the team. This will include gathering appropriate multidisciplinary input and ensuring appropriate documentation and follow-through on the care plan across Integrated Care Team members. 
• Providing consultation and direct services to patients escalated to you from Community Health Workers to navigate particularly complex social needs or issues. 
• Hiring and developing Community Health Workers as well as other members of the Integrated Care Team. 
• Supporting the Integrated Care Team’s ongoing professional learning, training, and clinical development, in partnership with our People team.
• Partnering with other market leaders and disciplines to support our integrated practice, including helping to develop programming and new initiatives to drive improved patient care, engagement, and experience. 
• Working and documenting daily within our electronic medical record as well as custom-built technology platforms that support care for our patients.

• Passionate about caring for complex, historically underserved patients with co-occurring chronic and behavioral health conditions in an integrated, multi-disciplinary model anchored in home-based and tech-enabled virtual care.
• Excellent communicator able to motivate and lead multidisciplinary teams towards common goals.
• Passion for coaching and mentoring and developing others.
• Ability to maintain composure under challenging circumstances while guiding others to smart, effective solutions. 
• Aware of their leadership skills and potential for impact and eager to share those with a fast growing, energetic team at the leading edge of healthcare innovation.

• Required
• 2 years of experience working in home based care setting, primary care or community health setting
• Experience working within a multidisciplinary team including clinical and non clinical team members
• At least 2 years of direct management experience of non clinical and or clinical team members
• 2 years of experience managing performance metrics or KPIs
• In-depth knowledge of the community and community resources and agencies in relation to health, illness, and disability that serve adults with complex physical, behavioral health, and social needs
• Demonstrated flexibility with tailored support centered around patient’s priorities, evolving needs, and goals
• Experience with trauma-informed care, motivational interviewing, harm-reduction approaches, and patients with a range of behavioral health conditions
• Excellent cultural sensitivity and comfort with diverse race/ethnicities 
• Understanding of social work ethics and values with dedication to applying social justice principles to health care setting
• Valid unrestricted driver's license and access to an insured vehicle for daily use

• Preferred
• Master’s in Public Health or health related field 
• Bilingual/fluency in other languages commonly spoken by people in the community we serve
• Experience managing community health workers, patient navigators, care managers, or social workers
• Experience as an active participant in continuous quality improvement projects
• Experience with engaging individuals with untreated and/or symptomatic chronic mental illness and addiction
• Familiarity working with individuals experiencing homelessness, and in-depth knowledge of homeless services in the community
• Familiarity working with individuals at end-of-life, including hospice and palliative care services
• Experience providing home-based care

#LI-Hybrid

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For Patient Facing Roles

To keep our patients, communities and each other safe, you'll be required to comply with Accompany Health’s medical clearance requirements, including completing a TB screen and providing proof of immunity or vaccination for certain conditions. You will also be required to be vaccinated and up-to-date on your COVID-19 vaccinations, including boosters. This is a condition of employment, and we make exceptions as required by law. Accommodation for religious and medical beliefs will be provided on a case by case basis.

For Non-Patient Facing Roles

To keep our patients, communities and each other safe, you'll be required to comply with Accompany Health’s medical clearance requirements, including receiving the COVID-19 vaccine. This is a condition of employment, and we make exceptions as required by law. Accommodation for religious and medical beliefs will be provided on a case by case basis.

We embrace diversity and believe it creates a healthier atmosphere: Accompany Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.