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    Social Worker - Knoxville, United States - Stellar Professionals

    Stellar Professionals background
    Description

    Job Description

    Job Description

    SOCIAL 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 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

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