Care Manager - Social Worker

Roles And Responsibilities

• Perform in-home and telehealth care management visits to assess and determine social and behavioral status
• Work closely with Care Team to ensure collaboration and optimal patient outcomes
• Assess social determinants of health needs and develop a plan for addressing them
• Identify, vet, and build relationships with local Community-Based Organizations
• Educate patients on appropriate resources, assist with referral completion, and follow up for closure outcomes
• Serve as subject matter expert on social determinants for other members of the Care Team
• Complete behavioral, environmental, and social support assessments
• Deliver individual, family and group education on living with chronic illness
• Engage family and social support groups in the education and care of patients
• Assess patients and refer to behavioral health specialists if diagnosis and treatment needed
• Help patients to understand, accept and follow medical and lifestyle recommendations
• Review and document patient updates and progress in care management platform

Position Requirements

• Basic Life Support (BLS) certification is required in this role
• This position involves telephonic visits with some car travel to patients’ homes
• Currently licensed as a LCSW or LMSW in the posted state
• Master’s degree in social work and passed ASWB masters or clinical exam
• Rare domestic travel may be required to Brentwood, TN
• Self-starter with the ability to work independently with minimal supervision
• Ability to show empathy and quickly build relationships with patients and local CBOs
• Excellent verbal communication skills both in person and on the phone
• Familiarity with Microsoft Office and mobile phone and web-based applications

Highlights & Benefits

• Hybrid opportunity with some occasional local travel
• The ability to work directly with patients and build meaningful relationships
• Full benefits package including medical, dental, vision, life insurance, 401(k) plan with matching contributions, paid vacation and holiday time
• The mid-range salary for this position is approximately $80,000, with final compensation dependent on experience and qualifications