Social Worker Case Manager
Social Worker Case Manager
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Salary Not Disclosed
1 Vacancy
Job Description
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
Employment Type
Full Time
