Medical Social Worker

6 days 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 creating breakthrough clinical support tools, technology, and services. We're building a dynamic care management team that shares our mission and values.

About Your Team
Our team is comprised of 4,000+ physicians working in over 40 cities throughout California, caring for more than 500,000 patients. We're a mission-driven organization that values new ideas and innovation. If you're passionate about reshaping healthcare and want to work with a high-performing, fast-growing team, 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 overall quality of care delivered to members. This role 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 requires managing multiple complex initiatives that impact the quality or effectiveness of healthcare delivery and/or healthcare services. The Care Manager works collaboratively with both external facing and plan quality improvement leaders and key stakeholders to provide support for multi-disciplinary teams.

Your Responsibilities
As a Care Manager - Social Worker, you will work remotely in the continental United States, with a focus on California hours from approximately 9:00am to 5:00pm Pacific Time. Your primary responsibilities will include:
  1. Providing primarily telephonic post-discharge care coordination and management services for members with an emphasis on Altais' full-risk Medicare population.
  2. Clinical assessment, member/family/caregiver education, development, and implementation of individualized care plans.
  3. Utilizing advanced clinical judgment and critical thinking skills to perform care management duties.
  4. Working collaboratively with inpatient care managers, Referral Services, Population Health, and other internal teams.
  5. Engaging with BTP primary care providers, specialists, as well as hospital, skilled nursing, and health plan partners.
  6. Participating in health plan and quality audits as needed.

The Skills, Experience & Education You Bring

We're looking for a highly skilled and experienced Care Manager - Social Worker to join our team. The ideal candidate will have:
  1. MSW or Licensed Clinical Social Worker (LCSW) certification.
  2. Epic experience is preferred.
  3. 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 & Values

We're looking for a candidate who shares our passion for improving the healthcare experience and is committed to our mission and values. If you're:
  1. Passionate about improving the healthcare experience.
  2. Bold and curious, willing to take risks, try new things, and be creative.
  3. Accountable for the quality of everything you do, holding yourself and others to a high standard.
  4. Compassionate and known as someone who demonstrates emotional intelligence, considers others when making decisions, and always tries to do the right thing.
  5. Co-create, knowing that we can be better as a team than individuals.
  6. Build trust with your colleagues and customers by demonstrating that you value honesty and transparency.

What We Offer

We offer a competitive compensation package that recognizes your experience, credentials, and education, alongside a robust benefits program to meet your needs. The anticipated pay range for this role is listed in our salary posting for transparency but may vary based on factors including the candidate's qualifications, skills, and experience.

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