Social Work Care Manager

We are seeking a highly qualified and compassionate Social Work Care Manager to join our client in transforming kidney care. As a Social Work Care Manager, you will play a crucial role in supporting patients with chronic illnesses by assessing their social and behavioral needs, providing education, and connecting them with essential resources. This role requires a dedicated individual with a Masters degree in Social Work or a related field, a relevant license in the state of Georgia, and a minimum of 2 years of experience in care management within medical environments such as home health, dialysis, or hospice.

Responsibilities:

• Identify, evaluate, and build relationships with local Community-Based Organizations.
• Conduct in-home care management visits to evaluate social and behavioral status.
• Assist patients in understanding and adhering to medical and lifestyle recommendations.
• Provide expertise on social determinants to other members of the Care Team.
• Initiate patient relationships through the enrollment and onboarding procedures.
• Facilitate discussions on proactive care decisions, including transplantation and home modalities.
• Assess social determinants of health needs and develop comprehensive plans to address them.
• Document patient updates and progress accurately within the care management platform.
• Introduce patients to appropriate resources and advocate on their behalf.
• Deliver individual, family, and group education on effectively managing chronic illnesses.
• Serve as the primary point of contact for patient inquiries regarding social and behavioral concerns.
• Perform assessments and surveys related to behavioral, environmental, and social support as required.
• Engage patients families and social support groups in the education and care process.
• Collaborate closely with the Care Team to ensure continual progress on care management objectives.
• Refer patients to behavioral health specialists for diagnosis and treatment if necessary.

Additional Details:

• Excellent verbal communication skills for both in-person and phone interactions.
• Adaptable and capable of working with ambiguity, drive time, and telehealth components.
• This position involves covering a one-hour travel radius.
• Enthusiastic about working in a dynamic start-up environment.
• Occasional domestic travel to Nashville, TN may be required.
• Comfortable taking remote calls on nights and weekends.
• Demonstrated ability to work independently with minimal supervision.
• Proficiency in Microsoft Office and familiarity with mobile and web-based applications.

If you are a dedicated and empathetic social work professional seeking a fulfilling role in a start-up environment, we encourage you to apply for this position! You will be an essential part of our clients team, helping to redefine and enhance the care experience for patients with chronic illnesses.

Requirements

Qualifications:

• Possess a valid drivers license and reliable transportation.
• Self-starter with the capability to work independently and make decisions with minimal supervision.
• Valid Licensed Clinical Social Worker (LCSW) or Licensed Master Social Worker (LMSW) in the State of Georgia.
• Minimum of 2 years of previous Social Worker experience in care management and/or chronic illness within medical settings.
• Fully vaccinated.
• Comfortable with traveling to patients homes within a one-hour radius.
• Ability to take calls remotely on some nights and weekends.
• Masters Degree in Social Work, behavioral sciences, or related field.

Benefits Benefits:

• 401(k)
• Paid time off
• Vision insurance
• Health insurance
• Dental insurance