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The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partnership with the more than 171,000 Alaska Native and American Indian people that we serve and the Tribal health organizations of the Alaska Tribal Health System, ANTHC provides world-class health services, which include comprehensive medical services at the Alaska Native Medical Center, wellness programs, disease research and prevention, rural provider training and rural water and sanitation systems construction.
ANTHC is the largest, most comprehensive Tribal health organization in the United States, and Alaska’s second-largest health employer with more than 3,100 employees offering an array of health services to people around the nation’s largest state.
Our vision: Alaska Native people are the healthiest people in the world.
ANTHC offers a competitive and comprehensive Benefits Package for all Benefit Eligible Employees, which includes:
or contact Recruitment directly at HRRecruiting@anthc.org.
Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act.
Summary: Full Time
$117k-151k (estimate)
03/08/2024 05/07/2024 anthc.org Anchorage, AK 1,000 - 3,000
Identifies care management patients by accessing Emergency Department (ED) or inpatient services and establishes personal contact within 24 hours of inpatient or ED referral.
Creates and coordinates a focused transitional and discharge plan of care for chronic, high-risk patients based on initial assessment. The assessment is completed in collaboration with the patient, his/her family, direct care providers, primary care manager, post-acute care providers, community agencies, patient housing providers, and other staff as needed.
Conducts concurrent medical record review to measure patient progress against goals established for discharge.
Prepares and presents cases for discussion at scheduled meetings.
Expedites proper sequencing and scheduling of interventions, treatments, and procedures in accordance with the patient’s need during inpatient care. Manages continuity of effective and timely communication between patient and providers.
Communicates patient needs with anticipated site coordinator as necessary.
Reviews transition/discharge plan to ensure the patient and his/her family understand the plan including medications and discharge needs.
Coordinates with pre-authorization and financial counselors for acute and post-acute care as needed.
Identifies and communicates any problems or issues that affect patient flow, patient satisfaction, patient safety, length of stay management, or outcomes to the department manager and/or appropriate key stakeholders.
Works with acute and primary care multi-disciplinary care team to prevent readmissions; identifies and communicates relevant information and facilitates care conference(s) as necessary.
Displays innovation in problem solving and critical thinking
Assists leadership in Transitional Care Program development and continuous improvement through measurement and feedback of appropriate outcome based processes and strategies. Actively participates in developing program structure, tools, procedures and communication strategies.
Recommends changes for process improvement in program policies and operations to meet objectives.
Performs other duties as assigned or required.
KNOWLEDGE and SKILLS
A Master’s Degree in Social Work.
Non-supervisory – Two (2) years of experience in social work.
Current Basic Life Support (BLS) card.
Experience in the Alaska Tribal Health System.
Experience in an acute care medical setting.
Nationally recognized case management certification is preferred.Job Summary
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