Medical Social Worker

4 weeks ago

Oakland, California, United States Altais, Inc. Full time
About Our Company

At Altais, Inc., we're committed to revolutionizing the healthcare system for physicians, patients, and the clinical community. Our team of innovators is passionate about enabling better healthcare experiences and developing breakthrough clinical support tools, technology, and services. We're building a dynamic and fast-growing Care Management team that's dedicated to enhancing the overall quality of care delivered to our members.

About Your Team
We're a team of over 4,000 physicians working in over 40 cities throughout California, caring for more than 500,000 patients. If you're passionate about reshaping healthcare and want to work for a mission-driven organization that values innovation and quality, we'd like to meet you.

About Your Work
The Care Manager - Social Worker is responsible for partnering with external providers across the continuum of care to enhance the quality of care delivered to our members. This role involves identifying, developing, coordinating, promoting, supporting, and implementing assigned clinical quality and service improvement projects and programs. As a Care Manager, you'll act as a resource for evidence-based practice integration, provider training/education, policy review/development, and regulatory/accreditation interpretation. You'll manage multiple complex initiatives that impact the quality or effectiveness of healthcare delivery and/or healthcare services.

Your Key Responsibilities
  • Provide primarily telephonic post-discharge care coordination and management services for members with an emphasis on Altais' full-risk Medicare population.
  • Activities include clinical assessment, member/family/caregiver education, development, and implementation of individualized care plans.
  • Utilize advanced clinical judgment and critical thinking skills to perform care management duties.
  • Work collaboratively with inpatient care managers, Referral Services, Population Health, and other internal teams.
  • Engage with BTP primary care providers, specialists, as well as hospital, skilled nursing, and health plan partners.
  • Participate in health plan and quality audits as needed.

The Skills and Experience You Bring
  • MSW or Licensed Clinical Social Worker (LCSW) certification.
  • Epic experience is preferred.
  • 3 years of experience in a clinical/healthcare environment with demonstrated experience at a professional level in quality improvement/clinical program oversight/project management.

You Share Our Mission and Values
  • You're passionate about improving the healthcare experience and want to be part of the Altais mission.
  • You're bold and curious, willing to take risks, try new things, and be creative.
  • You take pride in your work and are accountable for the quality of everything you do, holding yourself and others to a high standard.
  • You're compassionate and known as someone who demonstrates emotional intelligence, considers others when making decisions, and always tries to do the right thing.
  • You co-create, knowing that we can be better as a team than individuals. You work well with others, collaborating and valuing diversity of thought and perspective.
  • You build trust with your colleagues and customers by demonstrating that you value honesty and transparency.

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