Demo

Social Worker Case Manager

nLeague
Cookeville, TN Full Time
POSTED ON 4/16/2025
AVAILABLE BEFORE 5/13/2025

Job id : 63917

Position : Social Worker 2

Department : TN DOH

Location : 1100 England Dr Cookeville TN Cookeville Tennessee 38501

Duration : 12 Months

Job Description : Job Duties :

  • The Clinical Care Team will take referrals from primary care providers and will work with the primary care team to accomplish the following tasks :
  • Social support navigation for social determinants of health (SDOH) such as food insecurity housing insecurity etc.
  • Compile and maintain a resource list for SDOH resources including eligibility criteria referral process and contact information
  • Collaborate with primary care nurse and providers
  • Provide inperson or remote social needs screening / assessment with primary care patients referred by nurse or provider
  • Coordinate or make aware of social services resources i.e. housing clothing food mental health services etc.
  • Collaborate with other social workers to identify patient and community resources
  • Conduct case management activities
  • Work with hospitals for discharge planning followup and education
  • Assist with obtaining patient records from hospitals
  • Assist in securing needed medical equipment through community partners
  • Conduct followup on care plans
  • Identify patients lost to followup or overdue for care and assist them in returning to care
  • May assist with specialty referral navigation
  • Schedule coordinate and track nonBCS specialist and imaging referrals
  • Assist with obtaining patient records from specialists and imaging centers
  • Compile and maintain resource list for specialty referrals including eligibility criteria referral process cost and contact information
  • Assist patients to locate and access lowcost prescription options such as patient assistance programs discount retailers etc.
  • May assist with patient assistance program applications and serve as a patientprovider liaison with the drug companies
  • Assist patient with applications for programs such as CoverRx and RxOutreach

May help with other regional primary carebased initiatives with a social work component

Documents in patients record updates consults and tags provider and / or clinical staff as necessary

Provide patient education or find appropriate education resources

  • Expectations may include :
  • Complete onboarding and orientation
  • Participate in regional office and primary care clinical meetings as requested
  • Attend provider meetings as requested
  • Attend Health Councils and other community meetings to build relationships with social service agencies and promote health department services
  • Identify barriers to care or assistance experienced by our patients and seek ways to address them
  • Tools and Equipment :

  • Personal Computer
  • Telephone
  • Fax Machine
  • Printer
  • Scanner
  • Copy Machine
  • Calculator
  • Personal Vehicle
  • Other office related equipment as required

    Key Skills

    Motivational Interviewing,Acute Care,Crisis Intervention,Behavioral Health,Intake Experience,Hospice Care,Case Management,Home Care,Child Welfare,Experience with Children,Social Work,Addiction Counseling

    Employment Type : Full Time

    Vacancy : 1

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