Social Worker

Job Title:
Social Worker/Public Health Educator
Location:
Jackson, TN 38301 (Hybrid)
Duration:
12 Months Contract (With a possible extension)
Job Description:
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 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 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 on boarding 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 Customer 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 and Other office related equipment as required