OTHER

FEED

UNKNOWN

HOUR

Overview:
<img src="https://somatus.icims.com/icims2/servlet/icims2?module=AppInert&action=download&id=91545&hashed=-527906361" alt="LI Teammate Cover - On A Mission">As a leading provider of outcomes-driven care for individuals and communities living with chronic conditions, Somatus is helping patients across the country enjoy More Healthy Days at Home.  Care at Somatus goes beyond treatment. Through a whole‑person approach, we deliver outcomes‑driven integrated care and show up #SomatusStrong for our patients and teammates. We partner closely with health plans, health systems, and provider groups to support patients with, or at risk of developing, cardio, kidney, metabolic, or other chronic conditions.  <span style="margin: 0px; padding: 0px; font-size: 12pt; font-family: arial, helvetica, sans-serif; color: #000000;" data-ccp-props="{"134233117":false,"134233118":false,"335557856":16777215,"335559738":0,"335559739":0}"> We hire the brightest and boldest — talent driven by purpose and impact. Since our founding in 2016, our growth trajectory isn’t just a milestone — it’s a signal. Our leadership values culture and leads with intention as we remain dedicated to driving clinical excellence.   <span style="margin: 0px; padding: 0px; font-size: 12pt; font-family: arial, helvetica, sans-serif; color: #000000;" data-ccp-props="{"134233117":false,"134233118":false,"335557856":16777215,"335559738":0,"335559739":0}"> Does this sound like you? Keep reading.  How We’ll Support You:  We offer 25+ health, growth, and wealth work perks to help teammates be the best version of themselves, including: <ul style="margin-top: 0in; margin-bottom: 0in;" type="disc"><li style="margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; line-height: 115%; font-size: 12pt; font-family: Aptos, sans-serif;">Subsidized personal healthcare coverage: Medical, Dental & Vision, plus Wellness programs </li></ul><ul style="margin-bottom: 0in; margin-top: 0px;"><li style="margin: 0in 0in 8pt 0px; line-height: 115%; font-size: 12pt; font-family: Aptos, sans-serif;">Paid Time Off: Accrual of 3 weeks’ Vacation (PTO)</li></ul><ul style="margin-top: 0in; margin-bottom: 0in;" type="disc"><li style="margin-top: 0in; margin-right: 0in; margin-bottom: 8pt; line-height: 115%; font-size: 12pt; font-family: Aptos, sans-serif;">Professional development: CEU and tuition reimbursement </li></ul>

Responsibilities:
Somatus offers a Hybrid Telehealth environment with a combination of remote days and visits to members’ homes.   This position will be focused on high needs Chronic Kidney Disease (CKD) and End-Stage Kidney Disease (ESKD) populations that face multiple challenges, from accessing resources to adhering to a physician’s treatment plan. The CHW-Patient Advocate will work as an extension of the clinical care team, specifically under the guidance of RN Care Manager and act as an advocate guiding them through their care needs. The individual taking this role will manage his/her caseload through in-person, telephonic and electronic means of communications and coordination. The Patient Advocate will be the first and primary representative of Somatus to our members. He/she will be the key holder of the patient relationship and trust and will be responsible for building this relationship. He or she will be tasked as the person that schedules the initial wellness exam and care management assessment meeting with Somatus clinicians. After an individual care plan is developed, will be the person that facilitates connecting and scheduling the many resources within and beyond Somatus to the patient (including the various members of our care team as well as PCPs, Nephrologists, etc.). The Patient Advocate will also be involved in the community to “plug in” the patient with others and help facilitate their overall wellbeing.  This position is a market-based position.<ul><li>Works under the guidance of physicians and/or a nurse care manager.</li><li>Follow-up with health management plans and goals.</li><li>Establish positive, supportive relationships with participants and provide feedback.</li><li>Conduct an initial triage assessment to help align patients with the most appropriate program in accordance with program guidelines.</li><li>Documents their activities in the care coordination platform, including care plan activities conducted.</li><li>Engages with patients who need assistance with self-care needs in addition to what a nurse care manager can provide via phone, such as:</li></ul><ul><li style="list-style-type: none;"><ul><li>Address language and cultural barriers to care management and self-care.</li><li>Coach and guide the patient to meet both personal and clinical goals.</li><li>Schedules provider appointments on behalf of their patients.</li><li>Accompanies patients to their appointments when needed.</li><li>Reminds patients of their upcoming appointments.</li><li>Helps patients access community and government-based services, including possibly filling out paperwork for the patient.</li><li>Helps to teach the caregiver about symptom response plans.</li><li>Arranges transportation.</li><li>Facilitates closing gaps in care by educating patients about preventive monitoring and working with physician practices to schedule diagnostic testing.</li><li>Assists patients with enrolling to access educational videos.</li><li>Participates in the integrated care team meetings.</li><li>Act as the patient advocate and support the member through their patient journey starting with initial outreach.</li><li>Conduct telephonic outreach to members within designated geographic area to introduce the Somatus program and encourage enrollment to build their patient caseload.</li><li>Conduct door-to-door engagement outreach for patients with telephonic barriers.</li><li>Support NP and RNCM care team members through facilitating in home telehealth visits with patients.</li><li>Utilize motivational interviewing techniques to encourage patients to make behavioral changes.</li></ul></li></ul>Measures of Success<ul><li>Patient Engagement</li><li>Care Setting Transitions</li><li>Assessment</li><li>Monthly Goal completion as set by the RNCM</li><li>Patient Success – as measured by no/reduced hospital or ER visits on a monthly basis</li></ul> This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee. Duties, responsibilities, and activities may change at any time with or without notice. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

Qualifications:
Qualifications:<ul><li>Experience working with Medicare, Medicaid or Special Needs populations.</li><li>High school diploma or GED required .</li><li>Medical Assistant, Licensed Practical Nurse, Engagement Specialist or Community Health Worker Experience.</li><li>Ability to connect with people and understand the challenges they face.</li><li>Ability to use a range of outreach methods to engage individuals and groups in diverse settings.</li><li>Well connected to the community and resources within the community they will serve.</li><li>Effective written and verbal communication skills demonstrating respect and cultural awareness during interactions with clients.</li><li>Ability to travel throughout the assigned region and comfort with conducting home visits (50-75% same day travel).</li><li>Great motivator</li><li>Organized Coach</li><li>Empathetic</li><li>Outgoing / positive personality</li></ul>Preferred Qualifications: <ul><li>Experience working with patients with chronic and behavioral health needs.</li><li>Associates degree or higher from an accredited college preferred. </li><li>Demonstrated success in working as part of a multi-disciplinary team including communicating and working with Physicians and Registered Nurses.</li><li>Proven experience with engaging patients in making healthy behavior changes.</li><li>Proven skills in navigating the health systems and making necessary linkages in order to meet specific needs.</li><li>Experience working with Electronic Medical Records and other documentation platform. </li></ul><div>Wage Range</div><div>$21.00- $22.00 Per Hour</div><div>Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience and may fall outside of the range shown</div>

Other Duties :
Our priority is the health and safety of our members, colleagues, partners, and community. Proof of COVID-19 vaccination is required for employment. If you are unable to be vaccinated for medical reasons or sincerely held religious beliefs, we will consider requests for reasonable accommodations consistent with our policy and applicable law. 
At Somatus, we celebrate what makes us unique — our people. We believe that a culture intentionally built to foster and support our unique passions, experiences, and perspectives helps fuel us in the pursuit of our mission. 
Somatus, Inc. provides equal employment opportunity to all individuals regardless of race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by law. Discrimination of any type will not be tolerated.

Somatus, Inc.

Patient Health Advocate

Behavioral Health

Calendar Management

Certified Medical Assistant

Chronic Renal Disease

Clinical Medicine

Coaching

Communication Skills

Community Health

Cross-Functional

Customer Relations

Documentation

Electronic Medical Records

End-Stage Renal Failure

Government

Health Plan

Healthcare Providers

High School Diploma

Hospital

Interpersonal Skills

Interviewing Skills

Leadership

Legal

Licensed Practical Nurse/Licensed Vocational Nurse

Medicaid

Medicare

Nursing Management

Organizational Skills

Patient Assessment

Patient Care

Patient Education

Presentation/Verbal Skills

Registered Nurse (RN)

Risk

Safety/Work Safety

Special Needs

Telehealth

Training/Teaching

Treatment Plan

Tuition Reimbursement

Web Client Plug-ins

Willing to Travel

Writing Skills

[AW]-iCims

Wage Commensuration: The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skill sets, experience, education and training, licensure and certifications, and other business and organizational needs. Assists in providing solutions to social and practical environmental problems, including seeking financial assistance, discharge planning (including collaboration with community agencies) and providing referrals to other community agencies when specialized assistance is required.

Job Highlights:
<ul id="38817"><li id="38818" style="list-style-type:none"><div>Now offering a $5,000. sign on bonus for newly hired, full time Licensed Social Service Director. Newly hired full time Licensed Social Service Director must start on or before May 31, 2026 to qualify for bonus – apply today!</div></li></ul> Must be a Licensed Social Worker. Full-time day shift, 8:4:30pm

Position Summary:
The Social Services Director is responsible for planning, developing, organizing, implementing, evaluating and directing of the social service programs of the facility

Posted Salary Range:
USD $35.00 - USD $37.00 /Hr.

Wage Commensuration:
The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skill sets, experience, education and training, licensure and certifications, and other business and organizational needs. 

Duties & Responsibilities:
<ul><li>Responsible for planning, developing, organizing, implementing, evaluating and directing of the social service programs of the facility</li><li>Develops and implement policies and procedures for identifying the medically-related social and emotional needs of the patients/residents</li><li>Assists in providing solutions to social and practical environmental problems, including seeking financial assistance, discharge planning (including collaboration with community agencies) and providing referrals to other community agencies when specialized assistance is required</li></ul>

Qualifications & Requirements:
<ul><li>An individual with a minimum of a bachelor’s degree in social work or a bachelor’s degree in a human services field including, but not limited to sociology, gerontology, special education, rehabilitation counseling, and psychology.</li><li>Must have, as a minimum, one (1) year experience in a human services field in a hospital, skilled nursing care facility or other related medical facility</li><li>Must be able to organize and prioritize many tasks effectively</li><li>Ideal candidate must be a skilled communicator, director and motivator</li><li>Reliable transportation required</li></ul>

Benefits:
All of our employees are valued and receive a competitive wage; full time team members are also offered a comprehensive benefit package which includes: <ul><li>Medical, Dental, Vision, Life and Disability Insurance/ Flexible Spending Accounts</li><li>Tuition Reimbursement & Nursing Loan Repayment Programs</li><li>PerkSpot - Local Deals and Weekly Perks Program</li><li>401(k)</li><li>Paid Time Off Plan</li><li>New Pet Insurance Discount available</li><li>DailyPay option available! – Get your pay, when you need it.</li><li>Purchasing Power - online purchase/payroll deduction</li><li>Tickets at Work - entertainment ticket discounts</li><li>Employee Assistance Plan - easy-to-use services to help with everyday challenges of life (available for all employees and their families) </li><li>Helping Friends Foundation - our employees’ hardship/crisis fund</li><li>Auto and Home Insurance - employee discount available – payroll deduction!</li><li>In-facility education programs and more!</li></ul>

EOE Statement:
Drug Free, Smoke-Free work place. Equal Opportunity Employer, including disability/vets

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