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Social Worker

Social Worker

State of TennesseeSelmer, TN, United States
16 hours ago
Job type
  • Full-time
Job description

Job Title : Social Worker

Location : Nashvile, TN

Job Duties : This position will be based at the McNairy County Health Department and cover multiple sites.

  • Bachelor's degree in social work is required

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.

o Compile and maintain a resource list for SDOH resources including eligibility criteria, referral process, and contact information

o Collaborate with primary care nurse and providers

o Provide in-person or remote social needs screening / assessment with primary care patients referred by nurse or provider

o Coordinate or make aware of social services resources, i.e., housing, clothing, food, mental health services, etc.

o Collaborate with other social workers to identify patient and community resources

  • Conduct case management activities

    • o Work with hospitals for discharge planning, follow-up and education

    o Assist with obtaining patient records from hospitals

    o Assist in securing needed medical equipment through community partners

    o Conduct follow-up on care plans

    o Identify patients lost to follow-up or overdue for care and assist them in returning to care

  • May assist with specialty referral navigation

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

    o Assist with obtaining patient records from specialists and imaging centers

    o 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.

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

    o 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

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    Social Worker • Selmer, TN, United States