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BILINGUAL SOCIAL WORKER (LCSW/LMSW)

Registry Ally, Inc.
Albuquerque, NM Full Time
POSTED ON 1/21/2025
AVAILABLE BEFORE 4/21/2025

Job Description

Job Details

  • Opportunity to work in a dynamic, fast-paced and innovative care management company that is transforming the delivery of kidney care.
  • 3-4 Days of Home Visits (within 1 Hour Radius of Assigned Territory) and 1-2 Days of Telehealth
  • Coordinating Services for the underserved population not providing direct therapy
  • Competitive salary and bonus.
  • Flexible paid leave and vacation policy.
  • Laptop, mileage reimbursement, phone allowance, and extra perks available!

Responsibilities

  • Perform in-home care management visits to assess and impact social and behavioral status
  • Work closely with Care Team to ensure continual progress on all care management goals
  • Assess social determinants of health needs and develop a plan for addressing them
  • Perform behavioral, environmental and social support assessments and surveys as needed
  • Deliver individual, family and group education on living with chronic illness
  • Engage family and social support groups in the education and care of patients
  • Assess patients and refer to behavioral health specialists if diagnosis and treatment needed
  • Help patients to understand, accept and follow medical and lifestyle recommendations
  • Serve as the point of contact for patient questions regarding social and behavioral
  • Facilitate conversations around and consideration of proactive care decisions, especially relating to transplantation, home modalities and AV fistula placement
  • Initiate patient relationships through enrollment and onboarding processes
  • Review and document patient updates and progress in care management platform.
  • Identify, vet and build relationships with local Community-Based Organizations
  • Introduce patients to appropriate resources and act as the patient advocate
  • Serve as subject matter expert on social determinants for other members of the Care Team
  • Occasionally visit patients or take call remotely on some nights and weekend
  • Requirements

  • Master's Degree in Social Work, behavioral sciences or other related field
  • Must be a Licensed Clinical Social Worker (LCSW) or Licensed Master Social Worker (LMSW) in the State of New Mexico
  • 2 years previous experience working in care management and / or with chronic illness within a medical environment i.e. home health, dialysis, hospice
  • Ability to show empathy and quickly build relationships with patients and local CBOs
  • Ability to occasionally visit patients or take call remotely on some nights and weekends
  • Must be fluent in Spanish
  • Excellent verbal communication skills both in person and on the phone
  • Ability to work with Microsoft Office and mobile phone and web-based applications
  • Self-starter with the ability to work independently with minimal supervision
  • Must be a road warrior! A lot of driving involved.
  • Ability to travel to company main location in Nashville for training if necessary
  • Must live within 30 miles of Albuquerque
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