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Social Worker
2 months ago
We are seeking a highly skilled Social Worker to join our team in Knoxville, TN. As a Social Worker, you will play a critical role in providing social support navigation for patients with social determinants of health needs.
Key Responsibilities:- Provide social support navigation for patients with social determinants of health needs, including food insecurity, housing insecurity, and other related issues.
- Compile and maintain a resource list for client resources, including eligibility criteria, referral process, and contact information.
- Collaborate with primary care nurses and providers to ensure seamless care coordination.
- Conduct in-person or remote social needs screening/assessments with primary care patients referred by nurses or providers.
- Coordinate or make aware of social services resources, including housing, clothing, food, mental health services, and other related resources.
- Collaborate with other social workers to identify patient and community resources.
- Conduct case management activities, including follow-up on care plans and identifying patients lost to follow-up or overdue for care.
- May assist with specialty referral navigation, scheduling, coordinating, and tracking non-BCS specialist and imaging referrals.
- Assist patients in locating and accessing low-cost prescription options, including patient assistance programs, discount retailers, and other related resources.
- May assist with patient assistance program applications and serve as a patient-provider liaison with drug companies.
- Document patient information, updates consults, and tags provider and/or clinical staff as necessary.
- 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 patients and seek ways to address them.