- Assess clinical information for use in development of comprehensive individualized plans of care for SMG patients.
- Identify SMG patient's with the potential for high risk complications and coordinate the appropriate treatment in conjunction with the patient and care coordination team.
- Coordinate with institutional facilities as necessary to facilitate access to physical health and/or behavioral health services needed by the SMG patient and to help ensure the proper management of the patient's acute and/or chronic physical health or behavioral health conditions.
- Assess clinical information to develop an individualized transition plan, if appropriate, that will address all the services necessary to safely transition the patient to the community, including, but not limited to, patient needs related to housing, transportation, availability of caregivers, and other transition needs and supports.
- Act as an advocate for an individual's health care needs by identifying and communicating opportunities for care intervention, including identifying and addressing gaps in care. Also by identifying and communicating any barriers to a safe transition and strategies to overcome those barriers.
- Utilize criteria for authorizing appropriate home and community based services, obtain authorization for those services, if needed, and confirm those services are being provided and that patient's needs are being met.
- Monitor and ensure that provision of covered physical health, behavioral health, and/or home and community based services are provided as a cost-effective alternative.
- Management of critical transitions, such as hospital discharge planning.
- Develop and implement targeted strategies to improve health, functional, or quality of life outcomes, such as disease management or pharmacy management.
- Maintain appropriate and ongoing communications and collaborations with patient's, their authorized representatives, physicians and health team members, and payer representatives.
- Provide assistance in resolving concerns about service delivery or providers.
- Coordinate with SMG patient's primary care provider, specialists, and other providers and care programs to ensure comprehensive, holistic, person-centered approach to care.
- Provide patients with education about the ability to use an advance directive.
- Routinely assess and monitor patient's status, needs, and progress; if progress is static or regressive, determine reason and proactively encourage appropriate adjustments in their plan of care, providers and/or services to promote better outcomes.
- Report quantifiable impact, quality of care, and/or quality of life improvements as measured against the care coordination goals
- Establish working relations with referral sources, community resources, and care providers.
- Actively participates in site-level Quality Improvement Activities. Each employee will contribute to the continual evaluation site performance as well as the implementation and measurement of improvement activities that increase the quality of care provided to patients.
- Master's Degree of Social Work and L.C.S.W. required; Minimum of 3 years varied clinical background required;
- Care management experience preferred.
- Prefer - 5 years' experience in healthcare setting
- Three to five years of experience in care management, disease management, population health management, or other related health care environments.
- Prefer experience with chronic disease management/education
- Must be PC literate with basic knowledge of Windows & Microsoft.
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Social Worker
1 week ago
Westmoreland Health and Rehab Center Knoxville, United StatesWestmoreland Health and Rehab Center is an EEO employer - M/F/Vets/Disabled · All Your Needs. All Our Hearts. · Westmoreland located in beautiful Knoxville, Tennessee is the second largest facility of its kind in the city. This healthcare center offers care for our residents an ...
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Social Worker
3 days ago
Stellar Professionals Knoxville, United StatesJob Description · Job DescriptionSOCIAL WORKER · Applicant must have 1-2 years of experience with the following: · 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 ...
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Social Worker
3 days ago
Teleios Collaborative Network Fort Mill, United StatesJob Description · Job DescriptionSummary: · The PRN Social Worker will work collaboratively as part of an innovative team to help to grow a new serious illness organization serving SC. The PRN Social Worker exemplifies the mission, vision, values, of Caring Seasons Health by: · ...
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Social workers
1 week ago
ZephyrTech Gatlinburg, United StatesThe district of Offenbach belongs to the FrankfurtRheinMain metropolitan region and offers all the opportunities expected from an internationally renowned location. In the 13 municipalities of the district, around people from nearly 170 nations live. Approximately employees work ...
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Social Worker
3 days ago
Care Around the Block - Knoxville TN Knoxville, United StatesJob Description · Job DescriptionCare Around the Block is currently seeking a Social Worker to join our growing professional care management team You will be responsible for providing quality professional care management services to all clients and their responsible parties adher ...
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Social Worker
1 day ago
Veterans Health Administration Knoxville, United States Full timeVA Careers - Social Work: · Total-Rewards-of-an-Allied-Health-VA-Career- · Social Work: · Major duties include, but are not limited to: · Conduct psychosocial assessments to determine needs of veterans and family members. · Perform insightful assessment of serious and complicat ...
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Medical Social Worker
3 days ago
NHC Knoxville, United States"A different kind of care that ensures you're surrounded by people who make a difference in your life."Position: Medical Social WorkerNHC HomeCare Konxvilleis looking for a Medical Social Worker to join our team.The Medical Social Worker supervises and provides for the evaluation ...
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medical social worker
3 days ago
NHC Knoxville, TN , USA, United StatesA different kind of care that ensures you're surrounded by people who make a difference in your life. · Position: Medical Social Worker · NHC HomeCare Konxvilleis looking for a Medical Social Worker to join our team.The Medical Social Worker supervises and provides for the evalua ...
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Social Worker PRN
1 week ago
Westmoreland Health and Rehab Center Knoxville, United StatesWestmoreland Health and Rehab Center is an EEO employer - M/F/Vets/Disabled · All Your Needs. All Our Hearts. · Westmoreland located in beautiful Knoxville, Tennessee is the second largest facility of its kind in the city. This healthcare center offers care for our residents an ...
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Social Worker Medical
1 day ago
22nd Century Technologies, Inc. Knoxville, TN, United StatesThe 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. · * Collab ...
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Medical Social Worker
3 days ago
National Health Corporation Knoxville, United StatesJob Description · Job Description"A different kind of care that ensures you're surrounded by people who make a difference in your life." · Position: Medical Social Worker · NHC HomeCare Konxville is looking for a Medical Social Worker to join our team. The Medical Social Worker s ...
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medical social worker iii
1 week ago
Covenant Health Inc. Knoxville, United StatesOverview · Medical Social Worker, Continuum of Care · Full Time, 80 hours and shifts, Day shift, Monday- Friday, 8am-4:30pm, Occasional weekends and minor holidays · Parkview Overview: · Since admitting our first patient in 1973, Parkwest has been at the vanguard of healthcare ...
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Licensed Clinical Social Worker
1 day ago
DEVCARE SOLUTIONS PRIVATE LIMITED Knoxville, United StatesOverview: · We are seeking a Licensed Clinical Social Worker to join our team. As a Licensed Clinical Social Worker, you will provide counseling and support to individuals, families, and groups in various settings. This is an opportunity to make a positive impact on the lives of ...
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Dialysis Social Worker-MSW
5 days ago
Dialysis Clinic Inc Knoxville, United StatesOverview · Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states "the care of the patient is our reason for existence," and our dedicated team ...
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Hospice Social Worker MSW
4 days ago
Gentiva Knoxville, United StatesOur Company · Gentiva Hospice is a member of the Gentiva family – an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so th ...
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Dialysis Social Worker-MSW
18 hours ago
Dialysis Clinic Inc Knoxville, United States**Overview**Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states "the care of the patient is our reason for existence," and our dedicated team ...
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Dialysis Social Worker-MSW
1 day ago
Dialysis Clinic Inc Knoxville, United StatesOverview · Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states "the care of the patient is our reason for existence," and our dedicated team ...
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Licensed Clinical Social Worker
2 days ago
LifeStance Health Knoxville, TN, United StatesJob Description · Is this you? · * Wanting to deliver high quality behavioral healthcare. · * Seeking work life balance. · * Interested in growing professionally. · What we offer Therapists: · * Flexible work schedules. · * Hybrid Model: Telemedicine and in-person flexibility. · ...
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Licensed Clinical Social Worker
1 week ago
LifeStance Health Knoxville, United StatesWe are actively looking to hire talented therapists in the area, who are passionate about patient care and committed to clinical excellence. *Sign-On Bonus Provided. · Is this you? · Wanting to deliver high quality behavioral healthcare. · Seeking work life balance. · Interested ...
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licensed clinical social worker
1 week ago
LifeStance Health Knoxville, TN , USA, United StatesJob Description · Is this you? · * Wanting to deliver high quality behavioral healthcare. · * Seeking work life balance. · * Interested in growing professionally. · What we offer Therapists: · * Flexible work schedules. · * Hybrid Model: Telemedicine and in-person flexibility. · ...
licensed clinical social worker - Knoxville, TN , USA, United States - Summit Medical Group
Description
ResponsibilitiesAbout Our Career Opportunity
Summit Medical Group is seeking a Social Worker to join their team. This is a Full-time opportunity.
Responsibilities:
(List does not include all duties assigned)
Education:
Experience:
Summit Medical Group is East Tennessee's largest primary care organization with more than 415 providers at 87 practice locations in 19 counties.
Summit also consists of four diagnostic centers, mobile diagnostic services, eight physical therapy centers, four express clinics, central laboratory, and sleep services center.
Summit provides healthcare services to more than 370,000 patients, averaging over one million encounters annually. For more information, visit
In addition to our commitment to the health of our community, our organization is also committed to the health of our employees through our employee Wellness Program.
Pre-employment drug testing will occur prior to starting work and only candidates who pass the drug test will be considered eligible for employment.
licensed clinical social worker professionals in Knoxville
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Stacy Wason-Fawver
Family Nurse Practitioner/Telehealth