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Care Manager Social Worker
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Care Manager Social Worker

Monogram Health Inc -
Savannah, GA

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Job Details

Benefits

Paid parental leave
Paid holidays
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Parental leave
Employee assistance program
Vision insurance
401(k) matching
Employee discount
Life insurance
Referral program

Qualifications

Master's degree in social work
Phone communication
BLS Certification
Master's degree
Desktop applications
Productivity software
Community relationship building
Mobile devices
Client interaction via phone calls

Full Job Description

Job Description: Care Manager, Social Worker

Monogram Health is looking for skilled Social Worker eager for the opportunity to make a difference in patients' lives. The Care Manager Social Worker is a key member of an integrated Care Team which includes a Nurse Care Manager and an Advanced Practice Provider. The patients we serve often struggle with multiple serious diseases and behavioral health challenges. Social workers can remove the many economic and behavioral barriers to patients, enabling positive health outcomes.

Your Impact

The care team works with patients face-to-face, over the phone, and through telehealth to identify and address social determinants of health. The goal is to build a patient’s social support network, navigate behavioral challenges, and generally help patients through a traumatic diagnosis and life-changing disease. Your gifts as a healthcare professional are urgently needed. In healthcare systems, the patient has too often become secondary due to processes and incentives that don’t positively impact the patient for the long term. Here at Monogram, we strive to change that narrative by putting our patients and their quality of life at the forefront of what we do.

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

This position involves telephonic visits with some car travel to patients’ homes
Basic Life Support (BLS) certification is required in this role. The company will support your certification completion through onboarding.
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
Preferred 2+ years previous experience working in care management and/or with chronic illness
Excellent verbal communication skills both in person and on the phone
Familiarity with Microsoft Office and mobile phone and web-based applications

Benefits

Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave
Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts

About Monogram Health

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.

Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.

Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.

#LI-MD1

Licenses & Certifications

Preferred

Registered Social Worker

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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Job Description: Care Manager, Social Worker

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