Social Worker 2

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