Social Worker

This is an on-site position working from 8:00 am to 4:30 pm Monday through Friday for a total of 37.5 hours per week. The pay rate for this position is $27.00 per hour. Social Worker Job Duties and Responsibilities will include: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 nurses 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.-Conducting 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.-May assist with specialty referral navigation:-Schedule, coordinate, and track non-BCS specialist and imaging referrals.-Assist with obtaining patient records from specialists and imaging centers.-Compile and maintain resource list for specialty referrals including eligibility criteria, referral process, cost and contact information.-Assisting patients in locating and accessing low-cost prescription options such as patient assistance programs, discount retailers, etc.:-May assist with patient assistance program applications and serve as a patient-provider liaison with the drug companies.-Assist patients with applications for programs such as CoverRx and RxOutreach.-May help with other regional primary care-based initiatives with a social work component.-Documenting in patients' records, updating consults, and tagging provider and/or clinical staff as necessary.-Providing patient education or finding appropriate education resources.