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Social Worker 2

3 months ago

Columbia, United States Spectraforce Technologies Full time

Job Title: Social Worker 2

Duration: 12 months

Location: Columbia, Tennessee 38401

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