Social Worker

Home HealthSocial Workers are needed for a dynamic, fast-paced start-upwith an innovative care management position that is transforming the delivery of kidney care. You will be driv ing to patients' homes who suffer from chronic kidney disease. We are looking for someone who works well with ambiguity , drive time, and telehealth components. Most patients are suffering from chronic kidney disease (CKD) and end-stage renal disease (ESRD).Requirements:Work Mondayto Friday 8:00 am to 5:00 pm and occasionally after 5:00 pmYou must be mission-driving and willing to deal with underserved populationsMaster's Degree in Social Work , behavioral sciences, or another related fieldCurrently licensed as an LCSW or LMSW2+ years of experience working in care management and/ or with chronic illness 2+ years of experience working in medical settings such as home health, dialysis, o r hospiceTele-health! Ability to take calls remotely on some nights and weekendsSelf-starter with the ability to work independently with minimal supervisionMust show empathy and quickly build relationships with patients and CBOsExcellent verbal communication skills both in person and on the phoneMust be fully vaccinatedMust be willing to travel to the patient's homeCompetitive compensation,of $65,000Flexible paid leave (PTO) , sick days, and vacation policyFull Benefits (Medical, Dental, & Vision)401K PlanLaptop & Phone Allowance (if applicable details will be discussed)Job Descriptions:Lots of driving! This position will cover a two-hour travel radius .Rare domestic travel may be required to headquarters in Nashville, TNAbility to occasionally visit patients or take calls remotely on some nights and weekendsWork with Microsoft Office and mobile phone and web-based applicationsPerform in-home care managemen t visits to assess and impact their social and behavioral statusWork closely with Care Team to ensure continual progress on all care management goalsAssess social determinants of health needs and develop a plan for addressing themPerform behavioral, environmental, and social support assessments and surveysDeliver individual, family, and group education on living with chronic illnessEngage family and social support groups in the education and care of patientsAssess patients and refer them to behavioral health specialists for diagnosis and treatment Help patients to understand accept and follow medical and lifestyle recommendationsServe as the point of contact for patient questions regarding social and behavioralFacilitate conversations around and consideration of proactive care decisions, especially relating to transplantation, home modalities, and AV fistula placementInitiate patient relationships through enrollment and onboarding processesDocument patient updates and progress in the EMRIdentify, vet, and build relationships with local Community-Based OrganizationsIntroduce patients to appropriate resources and act as the patient advocateServe as subject matter expert on social determinants for other members of the Care TeamInterview Process:Brief screening call with a talent advisorPhone Interview with HRVideo Zoom interview the operations manager and leadership#J-18808-Ljbffr