Social Worker 2

Job Title:
Social Worker/Care Coordinator (With Tier 3 Benefits)
Location:
Chattanooga, TN 37402 (Hybrid)
Duration:
6+ Months Contract (With a possible extension)
Job Description:

* Creates work schedule of team members.
* Solicits feedback from primary care staff to identify and prioritize needs.
* Develops workflow for referrals, follow-up, tracking and other tasks in conjunction with regional and local health Customer leadership.
* Assists in data collection on efficacy of clinical care team. 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 nurses 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.
* 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 patients record, updates consult, 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.
* Attending Health Councils and other community meetings to build relationships with social service agencies and promote health Customer services.
* Identify barriers to care or assistance experienced by our patients and seek ways to address them.