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Health at Home Advisor

CommonSpirit Health at Home Santa Cruz, California
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The posted compensation range of $36.85 - $53.43 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Requisition ID 2026-456055 Employment Type Full Time Department Home Health and Hospice Hours/Pay Period 80 Shift Day Weekly Schedule Monday - Friday (8:00 AM - 4:30 PM) Remote No Category Case Management and Social Work

Job Summary and Responsibilities

Be a Trailblazer in Home Health and Hospice but still have the work balance you desire

***Dominican Hospital in Santa Cruz, CA - NOW HIRING - Health at Home Advisor***

***Mon - Fri 8:00 AM - 4:30 PM*** NO WEEKENDS

Are you a visionary leader in home health and hospice ready to embrace innovation and improve patient identification and home services transitions? Dominican Hospital in Santa Cruz, CA is offering an exciting hospital-based role: Health at Home Advisor.

The Health at Home Advisor (HHAd) has expert knowledge of home services and is an integral member of the healthcare team.The HHAd educates selected, pre identified, at-risk populations about home-based services capabilities, preparing patients and families for support needed at home.  The HHAd  collaborates with the hospital care team to identify and facilitate care for patients whose clinical outcomes and satisfaction would benefit from home services.  They function  as a resource for the patient, family, and hospital care team to ensure the patient receives timely and appropriate home services. May serve multiple hospital locations  within a management market.

Essential Key Job Responsibilities

  1. Supports CommonSpirit mission to make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all. Consistently lives People First Behaviors.  Follows the policies and procedures of the organization.
  1. Adheres to the Corporate Compliance Program, including confidentiality of HIPAA protected health information. 
  2. Works with hospital partners to identify and prioritize patient populations who will benefit from HHAd services. 
  3. Initiates post discharge care setting discussion with identified patients and families, initiating ‘why not home’ conversations and acting as a resource for the patient and the care team to realize home care alternatives. Guides patients through and around barriers within the healthcare system.
  4. Identifies opportunities to reduce both financial and clinical risks to patients and families  discharging from the hospital. 
  5. Acts as an active participant in multidisciplinary rounds as a patient advocate to promote appropriate level of care and to ensure efficient continuity of care throughout the continuum. 
  6. Collaborates with physicians and staff around care planning.
  7. Communicates pertinent care destination information and the home services candidates who were identified to the case manager and/or social worker. 
  8. Maintains communication with patients, families, and health care providers to monitor patient satisfaction.
  9. Collaborates with Care Coordination to facilitate follow up services with home services providers
  10. Maintains documentation of coordination of home Care/hospice services.
  11. All other duties as assigned.

Benefits:

  • Excellent holiday and paid time off plans
  • Medical, dental, and vision plans
  • Tuition reimbursement for degree-seeking students
  • Employer contribution to your 401(k)

Job Requirements

  • Completion of an accredited BSW program. Current unrestricted license as a BSW in state(s) of practice.
  • Home Health or Hospice experience within the last 10 years required. Prior navigator experience in a post-acute setting such as ALF/SNF/ILF preferred. 
  • Combination of Acute and Post-Acute care delivery experience preferred.
  • Three years social work experience in the health care setting preferred
  • Excellent computer skills and ability to learn new systems.
  • Strong organizational (time management) and  interpersonal skills.
  • Ability to handle multiple priorities with strong attention to detail. Knowledge of and practical use of good business spelling and arithmetic.
  • Ability to communicate effectively using written and verbal skills. Proficient in email communications and internet usage along with basic use of Microsoft Excel and Word. 
  • Knowledge of information technology to evaluate care effectiveness (care process, outcomes and cost). 
  • Ability to work autonomously within a matrix environment without direct supervision or support.

At CommonSpirit Health at Home, we are proud to be an Equal Opportunity Employer, promoting diversity, equity, and inclusion in every aspect of our organization. We value the unique contributions of all individuals, including minorities, protected veterans, and individuals with disabilities.

Where You'll Work

Dominican Hospital is part of an expansive health care network that is committed to providing better patient care, with better outcomes, where it is best received: at home. As a faith-based organization, we are committed to finding new ways to improve the health of our patients and their families and the health of the communities we serve. Rooted in humankindness, our ministry is at the heart of everything we do and can be seen in every patient we touch.

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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here.

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.