Director of Social Services

Job Description:

The position, Director of Social Services, reports directly to the Vice President of Clinical Services, and provides day-to-day oversight and adherence to all standards and expectations of the Social Services team.

The Company:

This role is with USHS, an Arkos Health Company. Arkos serves health plans and provider organizations an integrated system-of-care comprised of clinical and social services backed by a robust technology platform. By engaging individuals with virtual, in-home, in-clinic and in-facility care options, Arkos Health delivers advanced community-based health services that allow our clients to live healthier, more independent lives.

Essential Duties and Responsibilities:

• Provides supervision and guidance through leadership to the Social Services and Member Support teams.
• Maintains and ensures the successful process flow of all clinical programs established by USHS in accordance with our contracted partners.
• Provides oversight and ongoing training to USHS Social Services care management teams.
• Provide ongoing process and operational/staffing criteria for Social Service departments.
• Interact proactively with network providers/offices to educate on USHS services, problem solve and resolve care management/care coordination related issues or concerns.
• Collaborates and interacts with the Vice President of Clinical Services and Clinical Services Auditor to improve and implement any identified quality, productivity, or process improvements.
• Prepares and investigates any quality issues or complaints involving the USHS social services team.
• Collaborates with the Vice President of Quality and Performance to insure care management compliance according to USHS corporate and compliance policies.
• Reviews performance audits of social services care management team reporting with Clinical Services Auditor, to ensure corporate and partner compliance is met.
• Prepares and appropriately delivers reports and agendas as required and participates in meetings according to contracted standards.
• Acts as a resource for all staff for any operational or social concerns.
• Conducts performance evaluations and formulates disciplinary action plans, as appropriate.
• Participates and equally shares in after-hour and week-end Administrator on call coverage.
• Works collaboratively with the Vice President of Clinical Services and Director of Clinical Services to provide social services oversight to the clinical/ and social services teams.
• Work with HR team to conduct recruitment, hiring, and training of required personnel.
• Strong teamwork philosophy and willingness to accept change proactively.

Qualifications/Skills:

• Knowledge of Medicare/Medicaid state, and local managed care regulations.
• Must have the ability to present clinical information both accurately and confidently.
• Able to communicate effectively and in a professional manner with all levels of internal staff and external customers.
• Ability to be detail-oriented, able to function under pressure and able to prioritize and re-prioritize tasks as needed.
• Ability to work both independently and as part of a team, with minimal supervision.
• Excellent customer service and communication skills, both oral and written.
• Prior experience in managed care setting preferred.
• Bachelor’s degree in social services or related field.

Benefits:

• Fully paid employee medical/dental/vision/life/short term disability
• Employer matching 401(k)
• 15 days annual combined sick/PTO with 9 paid holidays
  

Must complete our Culture Index Survey. Take the assessment at https://portal.cultureindex.com/public/survey/general/bg3VS0H2kF.  This is not a pass/fail test and does not measure intelligence.

Arkos Health EEO Statement

All Arkos Health divisions are Equal Opportunity Employers. We do not discriminate on the basis of race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status or any other status protected under federal, state or local laws.

Arkos Health is a drug free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check.