- Social support navigation for social determinants of health (SDOH) such as food insecurity, housing insecurity, etc.
- 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
- Collaborate with other social workers to identify patient and community resources
- Work with hospitals for discharge planning, follow-up and education
- 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 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
- Participate in regional office and primary care clinical 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
- Personal Computer
- Telephone
- 22nd Century Technologies, Inc., is one of the fastest growing IT Service Integrator and Workforce Solution companies in the United States. Founded in 1997, 22nd Century Technologies is a Certified National Minority Business Enterprise with 6,000+ people including 600+ Cyber SMEs nationwide supporting our customers in all 50 states, Canada, and Mexico. As part of our unrelenting focus on quality and compliance, 22nd Century Technologies' delivery is based on Certified Matured Processes including CMMI L3 Dev & SVC, ISO 20000, ISO 27001, and ISO 9001 quality processes. With a strong focus on the public sector, 22nd Century currently holds government contracts with 14 out of 15 Federal Executive agencies including DoD, 37 other Federal agencies, 50 States, 115+ Local agencies, and 37 School Districts. In the last three years, we have expanded our services to Fortune 500 and other commercial clients and currently support 80+ commercial clients.
- Monday to Friday
- Night shift
- Relocate before starting work (Required)
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Social Worker Medical - Knoxville, TN, United States - 22nd Century Technologies, Inc.
Description
The Clinical Care Team will take referrals from primary care providers and will work with the primary care team to accomplish the following tasks:Recognized among *"Best Company to Work For" by Forbes, 22nd Century Technologies, Inc.,* 22nd Century Technologies is an Equal Opportunity Employer" and "US Citizens & all other parties authorized to work in the US are encouraged to apply.
"*All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Job Types:
Full-time, Contract
00 per hour
Day shift
Ability to Relocate: