*****Direct Client Requirement*****

Job Title: Social Worker/Clinical Care Coordinator

Locations: Elizabethton, TN (Onsite)

Duration: 1 Year

Interview type: Skype or Phone

Job type: C2C,W2,1099

Experience: 4 years

Job Description:

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
• 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

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

Job Type: Contract

Pay: $20.00 - $25.00 per hour

Expected hours: 40 per week

Benefits:

• Health insurance
• Life insurance

Medical specialties:

• Addiction Medicine
• Primary Care
• Psychiatry

Schedule:

• 8 hour shift
• Day shift
• Holidays
• Monday to Friday
• No weekends

Work setting:

• Clinic
• In-person
• Private practice
• Telehealth

License/Certification:

• Clinical Social Worker (Preferred)

Shift availability:

• Day Shift (Preferred)

Ability to Commute:

• Elizabethton, TN 37643 (Required)

Ability to Relocate:

• Elizabethton, TN 37643: Relocate before starting work (Required)

Work Location: In person