Specialty Care Social Worker

About the role

Devoted Medical was founded on the belief that if we treat each patient like we would our loved ones, we can meaningfully improve healthcare experiences and outcomes for some of America's most vulnerable patient populations. This specific role provides social work case management support to our Specialty Care Programs: Diabetes, Hypertension, Congestive Heart Failure, and Chronic Obstructive Pulmonary Disease Management. This role will complement our interdisciplinary teams by addressing the psychosocial needs of our patients.

We are on a mission to replicate best-in-class specialty care through our virtual care platform. Our interdisciplinary team combines remote monitoring, automated medication management, and high-touch disease education to deliver seamless speciality care in the comfort of our patients' homes. We seek to better serve our patients with chronic conditions who often lack access to high-quality specialty care because of a scarcity of specialists in their community or personal barriers to traveling to seek care.

Despite a mountain of evidence, less than 1 in 10 people with congestive heart failure are prescribed guideline-based medications proven to save lives and prevent hospitalization. Only 3 in 10 people with diabetes have ever received comprehensive diabetes education, and in the lucky few who have received education, it is rarely integrated with evidence-based pharmacotherapy. Specialty Care programs offer condition-specific, longitudinal clinical interventions aimed at changing the trajectory of chronic illness. This is accomplished by providing patients with the knowledge, treatment, and support required for them to become self-managers of their illness.

Responsibilities

• Telephonic and video visits with patients and caregivers
• Establish trust and build strong relationships with our patients
• Interdisciplinary collaboration with teammates (including clinicians, nurses, and care coordinators) to ensure cohesive, patient-centered care for high-needs patients
• Conduct Social Work interventions to maximize the effectiveness of the program
• Psychosocial screenings with personalized care plans tailored to patients' needs
• Emotional and caregiver support
• Navigate family/caregiver support
• Social determinants of health and social drivers of utilization
• Behavioral health navigation
• Long term care planning
• Advanced care planning
• Know how to balance multiple competing priorities from patients
• Work with family members/caregivers to help them understand the patient's needs and how to support them
• Facilitate and participate in joint visits
• Participate in team huddles, panel reviews, interdisciplinary team rounds, and program/role growth and development
• Build relationships and coordinate with key local market and internal stakeholders
• Document all clinical interactions in the electronic health record

Required skills and experience

• Master's degree in social work and active license
• Minimum of 2 years expertise in the medical field
• Comfortable with technology and a fast-paced environment

Qualifications

• Bilingual in English and Creole, Spanish, or Vietnamese (preferred)
• Experience in health insurance (Medicare Advantage a plus)
• Experience in geriatrics
• Self-starter with ability to succeed in a work-from-home environment
• Strong interpersonal and communication skills
• Comfortable working with patients over video and phone
• You love helping others improve their health and navigate a complex healthcare system with compassion, empathy, and warmth
• You're a caring problem solver who can break down barriers
• You connect with people quickly
• You follow up relentlessly
• A deep caring to make a change in the healthcare experience: you love to serve and make a difference
• The ability to adjust your tone and approach to different people
• You can articulate and break down complex information
• Being present, reliable and timely - for our members, for your team
• The ability to work in a changing environment: which means moving quickly and being transparent in your work, what's going well, what's not
• You enjoy a fast-paced, high-energy organization; Agility and collaboration are key as we will change and improve quickly
• You are comfortable engaging and learning new technologies including electronic health records, operating systems and programs (Google Office, Slack)
• You thrive on knowing your work can help make these technologies better for you and your patients
• You learn from every experience and are not afraid to fail - that's how you're wired
• Finally and most importantly, you have a passion for making healthcare better for patients, solving complex problems, and supporting the delivery of healthcare that we would want for our own family members

Pay

Salary range: $70,000 - $80,000 / year

Benefits

• Employer sponsored health, dental and vision plan with low or no premium
• Generous paid time off
• $100 monthly mobile or internet stipend
• Stock options for all employees
• Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
• Parental leave program
• 401K program
• And more