Social Worker

Job Title: Social Worker
Location: Chattanooga, TN (Hybrid)

Duration : 3+ months Contract with yearly renewal

Work Schedule: Days 8:00 AM - 4:30 PM | 40 hours weekly

Job Summary:

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.

Roles & Responsibilities:

· 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 in securing needed medical equipment through community partners

· Conduct follow-up on care plans

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

· May assist with specialty referral navigation.

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

· Assist with obtaining patient records from specialists and imaging centers

· 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.

· 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 patient’s record, updates consults, and tags provider and/or clinical staff as necessary.

· Provide patient education or find appropriate education resources.

Tools and Equipment:

1. Personal Computer

2. Telephone

3. Fax Machine

4. Printer

5. Scanner

6. Copy Machine

7. Calculator

8. Personal Vehicle

Note: Other office related equipment as required