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Social Services Coordinator

1 month ago

Sens, Bourgogne-Franche-Comté, United States Astrana Health Full time
About the Role

The Social Services Coordinator is a key member of our care coordination team, responsible for providing advocacy and navigation services to patients, families, and caregivers. This role requires strong communication and interpersonal skills, as well as the ability to provide emotional support and problem-solving assistance to those in need.

Key Responsibilities
  • Provide advocacy and social services to patients, families, and caregivers.
  • Establish trust and rapport with new patients, existing patients, families, and caregivers.
  • Educate patients and families on their available resources, such as housing, utilities, and food assistance.
  • Support patients with Social Security disability, retirement, SSI Benefits, replacement cards.
  • Advocate for patient rights and ensure that they receive the best possible care, including referrals and coordination of care, such as appointments for specialists, referrals to mental health, Non-Emergent Medical Transportation.
  • Assist patients with Welfare applications such as Medicaid, SNAP/EBT, etc.
  • Support patients with Department of Motor and Vehicle and Immigration services.
  • Develop and implement patient-centered care plans and department Standard Operating Procedures.
  • Problem solve and follow up with patients to ensure that they are receiving the care they need.
  • Collaborate with Care Coordinator/ other healthcare providers to ensure patient safety and quality care.
  • Follow established policies and maintain patient confidentiality and adhere to HIPAA guidelines.
  • Navigate through appropriate interventions such as de-escalation, Crisis Prevention, motivational interviewing, etc.
  • Complete, document, and report daily activities, telephone call, department and patient meetings, etc.
  • Ability to manage a weekly caseload of a minimum 70 patients.
  • Complete additional tasks and duties as assigned.
Qualifications
  • Bachelor's degree in social work, healthcare, or a related field.
  • 2+ years of experience in patient advocacy or a related field.
  • Knowledge of healthcare regulations and best practices.
  • Excellent communication and interpersonal skills.
  • Ability to provide support and problem-solving assistance.
  • Strong organizational and time management skills.
  • Foster a healthy work culture and ability to work alone or in a team.
  • Capability to work in a fast-paced environment and adapt to new policies or workflows.
  • Ability to maintain patient confidentiality.
  • Proficiency in Microsoft Office (Excel, Word, Outlook) and electronic medical records.
  • Up to 60% travel within clinics to meet patients for their Social Service needs.
  • Bilingual, Spanish.
Who We Are

Astrana Health is a physician-centric, technology-powered healthcare company accelerating the path towards a future where high-quality, coordinated healthcare is available to all. We are building and operating an integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner, especially patients who are traditionally underserved and those most vulnerable.

We have demonstrably improved patient outcomes: seniors on our platform spend 54% fewer days in the hospital than the national average and are readmitted 63% less often, and serve an extremely diverse community, with over 75% of our patients identifying as BIPOC and over 80% enrolled in Medicare or Medicaid.

Our Values:

  • Put Patients First.
  • Empower Entrepreneurial Provider and Care Teams.
  • Be Innovative.
  • Operate With Integrity & Excellence.
  • Work As One Team.