Medical Social Worker, Palliative Care

About Our Company

At Altais, we're looking for bold and curious innovators who share our passion for enabling better health care experiences and revolutionizing the healthcare system for physicians, patients, and the clinical community. At Altais, we're building breakthrough clinical support tools, technology, and services to let doctors do what they do best : care for people. We invite you to join our growing passionate team as we change the game for the future of healthcare and enable the experience that people need and deserve. Altais family of companies include : Brown & Toland Physicians, Family Care Specialists and Altais Medical Groups.

About Your Team

Are you looking to work with a high performing, fast growing and dynamic Care Management team? We are 4,000 physicians, working in over 40 cities throughout California, caring for more than 500,000 patients. If you are passionate about reshaping healthcare and want to work for a mission driven organization where new ideas and innovation are valued, then we would 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. Responsible for 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. Manages multiple complex initiatives that impact the quality or effectiveness of health care delivery and / or health care services. Acts in conjunction with both external facing and plan quality improvement leaders and key stakeholders to provide support for multi-disciplinary teams.

Our Supportive Care Program provides that extra layer of care to patients living with a serious illness, incorporating Palliative Care principles to allow care early in the serious illness process. The Supportive Care Program Social Worker plays a critical role in providing comprehensive and compassionate care to patients facing serious illnesses and their families. As part of a great interdisciplinary team, this individual helps patients cope with the emotional and psychological challenges that come with serious illness, such as anxiety, depression, and grief. They provide counseling, support, and resources to help patients and their families manage these challenges and improve their overall well-being. At the same time they are also an advocate helping patients define their own health goals and find ways to manage health challenges on their own terms.

The Supportive Care SW will provide support and counseling to patients' families, who often experience significant emotional and practical challenges when a loved one is seriously ill. They will help families navigate difficult decisions, cope with grief and loss, and connect with resources in their communities.

You will work remote in anywhere in the continental United States, and you are willing to work on California hours from approximately 9 : 00am to 5 : 00pm Pacific Time.

You will focus on :

• Providing 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.
• Utilizing advanced clinical judgement and critical thinking skills to perform care management duties.
• Working collaboratively with inpatient care managers, Referral Services, Population Health, and other internal teams.
• Engaging with BTP primary care providers, and specialists, as well as hospital, skilled nursing, and health plan partners.
• Participating in health plan and quality audits as needed.

The Skills, Experience & Education You Bring

You Share Our Mission & Values :

Altais values the contribution each Team Member brings to our organization. Final determination of a successful candidate's starting pay will vary based on several factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide 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.

Altais and its subsidiaries and affiliates are committed to protecting the privacy and security of the personal information you provide to us. Please refer to our 'CPRA Privacy Notice for California Employees and Applicants' to learn how we collect and process your personal information when you apply for a role with us.

Physical Requirements : Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office / deskwork - Activity level : Sedentary, frequency most of workday.

External hires must pass a background check / drug screen. Qualified applicants with arrest records and / or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.