Registered Nurse 1

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

Schedule, coordinate, and track non-BCS specialist and imaging referrals

May assist with patient assistance program applications and serve as a patient-provider liaison with the drug companies

Expectations may include :

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