*Job Title:* Social Worker/Clinical Care Coordinator
*Locations(Hybrid)* - Cookeville, TN; Columbia, TN; Chattanooga, TN; Knoxville, TN; Jackson, TN;Greeneville, TN; Elizabethton, TN; Johnson City, TN; Gallatin, TN; Murfreesboro, TN
*Duration:* 3 months
*Interview type: *Skype or Phone
*Job type:* C2C,W2,1099
*Experience:* 4+ years
*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 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:*
1.
Personal Computer
2.
Telephone
3.
Fax Machine
4.
Printer
5.
Scanner
6.
Copy Machine
7.
Calculator
8.
Personal Vehicle
Other office related equipment as required
Job Types: Full-time, Contract
Salary: $19.
29 - $21.
00 per hour
Schedule:
* 8 hour shift
Work setting:
* In-person
Experience:
* Customer service: 1 year (Preferred)
Ability to Commute:
* Johnson City, TN 37604 (Preferred)
Ability to Relocate:
* Johnson City, TN 37604: Relocate before starting work (Preferred)
Work Location: In person
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