Medical Social Worker

4 days ago


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

At Altais, Inc., we're seeking innovative professionals who share our passion for enhancing healthcare experiences and revolutionizing the healthcare system for physicians, patients, and the clinical community. Our organization is dedicated to building cutting-edge clinical support tools, technology, and services to empower doctors to focus on what matters most: delivering exceptional care. We invite you to join our dynamic team as we strive to transform the future of healthcare and provide the high-quality experience patients deserve.

About Your Team

We're a high-performing, fast-growing, and dynamic Care Management team, comprising over 4,000 physicians across 40 cities in California, serving more than 500,000 patients. If you're passionate about reshaping healthcare and value a mission-driven organization that fosters innovation and new ideas, we'd like to meet you.

About Your Work

The Care Manager - Social Worker or Licensed Clinical Social Worker plays a pivotal role in partnering with external providers across the continuum of care to enhance the overall quality of care delivered to members. This position involves identifying, developing, coordinating, promoting, supporting, and implementing assigned clinical quality and/or service improvement projects and programs. The Care Manager acts as a resource for evidence-based practice integration, provider training/education, policy review/development, and regulatory/accreditation interpretation. This role manages multiple complex initiatives that impact the quality or effectiveness of healthcare delivery and/or healthcare services, collaborating with both external facing and plan quality improvement leaders and key stakeholders to provide support for multi-disciplinary teams.

Your Key Responsibilities:
  • Provide primarily telephonic post-discharge care coordination and management services for members, with a focus on Altais' full-risk Medicare population.
  • Conduct clinical assessments, educate members/families/caregivers, develop, and implement individualized care plans.
  • Utilize advanced clinical judgment and critical thinking skills to perform care management duties.
  • Collaborate with inpatient care managers, Referral Services, Population Health, and other internal teams.
  • Engage with BTP primary care providers, specialists, hospitals, skilled nursing facilities, and health plan partners.
  • Participate in health plan and quality audits as needed.
The Skills, Experience & Education You Bring:
  • MSW or Licensed Clinical Social Worker (LCSW) certification.
  • Epic experience is preferred.
  • Three 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 & Values:
  • You're passionate about improving the healthcare experience and want to be part of the Altais, Inc. 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 for demonstrating emotional intelligence, considering others when making decisions, and always trying 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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