Community Health Advocate

About Our Company

At Altais, we?re looking for bold and curious clinicians and innovators who share our passion for enabling better health care experiences and revolutionizing the healthcare system for physicians, advanced care providers, 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 Coordination 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 Community Health Advocate assesses patients? social determinants of health needs through in-residence and virtual visits. This role assists patients to locate and connect to needed services and resources in the medical system and community that will make it easier to manage their health; Partners with medical systems and community and assist patients to problem-solve barriers to health conditions and navigate existing community and medical services; Identifies resource gaps in medical and community services and support implementation of new services to close identified gaps; Meets with patients at residence to support delivery of healthcare services; and Maintains regular communications with patient cohort to coordinate follow up visits, provide access to needed resources.

You Will Focus On:
? Assesses psychosocial and social determinants of health needs for low-risk patients and documents assessment results or augments available information in appropriate systems.
? Consults with or refers patients to licensed staff (social worker, nurse case manager etc.) as required based on patient social, health risk and medical complexity.
? Establish relationships and partners with community resources, health plans and providers by participating in community engagement activities with local agencies e.g. faith-based organizations, community centers, government agencies, parks, recreation centers and schools.
? Assists patients with problem-solving barriers to health conditions by identifying, locating, connecting to and navigating needed community and medical system services, including visiting patients, accompanying patients to medical appointments and assisting patients with completing forms to access needed services.
? Actively engages, builds rapport and establishes trusting relationships and facilitates collaborative communication with patients and patient family support systems.
? Identifies social determinants of health concerns/gaps, develops and documents a plan to address social and health disparities in accessing appropriate care and services.
? Documents patient updates and progress notes in appropriate systems and submits timely reports.
? Actively participates in Interdisciplinary Team Meetings and reports updates on patient needs and progress.
? Files and makes necessary follow-up on mandated reporting, e.g. Adult Protective Services, Child Protective Services, etc.
? Support in-home care services by visiting patients and coordinating virtual visits with remote clinical staff when needed.
? Other duties as assigned.

The Skills, Experience & Education You Bring
? Bachelor?s degree in social work, Psychology, Biology, Public Health, Community Health or Health.
? Up to 2 years? experience working with people who need assistance with health and/or social issues.
? Partnership with community-based organizations and/or clinical teams to coordinate comprehensive programs that will support population health initiatives.
? Communication and ability to work with various patients of the clinical team.
? Electronic Health Record knowledge and ability to document following standards, policy and procedures.
? Time management and ability to manage a case load with minimal supervision.

You Share our Mission & Values
? You are passionate about improving the healthcare experience and want to be part of the Altais mission.
? You are 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 are compassionate and are 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 are someone who values honesty and transparency.

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, experience, and geographic location. This base pay range is specific to California and can vary based on Bay Area, Metro LA, and Greater California regions which may not be applicable to other locations.

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.

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