Job Duties: Hybrid 8:00 AM 4:30 PM Regular Shift
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
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
Assist with obtaining patient records from hospitals
Assist in securing needed medical equipment through community partners
Identify patients lost to follow-up or overdue for care and assist them in returning to care
Compile and maintain resource list for specialty referrals including eligibility criteria, referral process, cost and contact information
Assist patients to locate and access 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 patient with applications for programs such as CoverRx and RxOutreach
Documents in patient's record, updates consults, and tags provider and/or clinical staff as necessary
SOCIAL WORKER, SOCIAL SERVICE, PUBLIC HEALTH, VOLUNTEER
ANY GRADUATE