Our Organization: Welcome to Arkos Health! We are a value-based healthcare company providing solutions for payors and providers by combining unique technology with in-home, virtual, and in-clinical care for patients. Backed by a robust technology platform, innovative software, and a light human touch, Arkos Health is committed to delivering advanced and accessible community-based services allowing our clients to live healthier, more independent lives. How do we do this? Arkos serves health plans and provider organizations by managing their highest-risk and highest-cost populations. Our goal is to be the most valued partner to health plans, service providers, and the community we collectively serve.
How You'll Make a Difference: 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.
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 Arkos in accordance with our contracted partners
Provides oversight and ongoing training to 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 Arkos 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 social services team
Collaborates with the Vice President of Quality and Performance to insure care management compliance according to 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 and Skills:
Bachelor’s degree in social services or related field
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
Benefits:
Employer-paid Medical premiums at no cost to you
Employer-paid Dental premiums at no cost to you
Employer-paid Vision premiums at no cost to you
Employer-paid Short-Term Disability premiums at no cost to you
Employer-paid Life Insurance premiums at no cost to you
Employer matching 401(k)
15 days annual combined sick/vacation and 9 days of holiday during your first year
Your Birthday off!
Must complete our Culture Index Survey. Take the assessment at https://go.cultureindex.com/s/bg3VS0H2k F. This is not a pass/fail test and does not measure intelligence.
Arkos Health EEO Statement: We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
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.
Arkos Health participates in E-Verify to confirm eligibility to work in the United States. To view the details on this program, visit our career page at
Careers - Arkos Health