Social Worker 2

Job Title : Social Worker 2

Location : Cookeville ,TN

Rate : $30/hr on 1099

Position : Hybrid

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 in-person 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, follow-up and education

· Assist with obtaining patient records from hospitals

· Assist in securing needed medical equipment through community partners

· Conduct follow-up on care plans

· Identify patients lost to follow-up or overdue for care and assist them in returning to care

· May assist with specialty referral navigation

· Schedule, coordinate, and track non-BCS 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 low-cost prescription options such as patient assistance programs, discount retailers, etc.

· May assist with patient assistance program applications and serve as a patient-provider liaison with the drug companies

· Assist patient with applications for programs such as CoverRx and RxOutreach

· May help with other regional primary care-based initiatives with a social work component

· Documents in patient’s 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

Job Types: Full-time, Contract

Pay: $30.00 per hour

Expected hours: 37.5 per week

Schedule:

• 8 hour shift

Work Location: On the road

Salary : $30