- Provide social support navigation for SDOH such as food and housing insecurity
- Collaborate with primary care team members including nurses and providers
- Conduct social needs screening and assessments for referred patients
- Coordinate social services resources like housing, clothing, and mental health services
- Work with hospitals on discharge planning and follow-up care
- Assist in obtaining patient records and necessary medical equipment
- Track care plans and follow-up with patients
- Identify and assist patients lost to follow-up or overdue for care
- Help with specialty referrals and imaging appointments
- Support patients in accessing low-cost prescription options
- Assist with patient assistance program applications
- Participate in regional office and clinical meetings
- Attend provider and community meetings to promote health services
- Identify and address barriers to patient care
- Complete onboarding and orientation process
- Participate in various meetings as requested
- Attend community events to establish relationships with social service agencies
- Document patient interactions and provide necessary updates
- Provide patient education when required
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Social Worker - Jackson, United States - ACL Digital
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Description
Social Worker Position at a Healthcare Company in Tennessee
Duration: 12 Months
Location: Multiple cities across Tennessee
Job Role Overview:
The company's Clinical Care Team is seeking a dedicated Social Worker to join their team. This role involves collaborating with primary care providers to address various social determinants of health (SDOH) and provide support to patients in need.
Key Responsibilities:
Expectations: