Medical social worker jobs in Smyrna, GA - 142 jobs

Join Our Team as a Social Worker - Make a Difference in Acute Hospital Care! Are you a dedicated social work professional passionate about improving patient outcomes in a dynamic healthcare environment? We are seeking a compassionate and experienced Social Worker to provide vital support within our hospital setting. This role offers a unique opportunity to impact lives while working in a collaborative and rewarding atmosphere. Key Responsibilities: Conduct comprehensive psychosocial assessments for patients admitted to acute hospital settings. Develop and implement individualized care plans to support patients and their families. Collaborate with multidisciplinary teams to ensure holistic patient care. Provide emotional support, counseling, and resource guidance to patients facing crises. Document and maintain accurate case records in compliance with healthcare standards. Required Skills: Minimum of 2 years of experience working in a hospital or acute care environment. Valid Georgia Licensed Certified Social Worker (LCSW) license. Strong interpersonal and communication skills. Ability to handle sensitive situations with professionalism and compassion. Excellent organizational skills and attention to detail. Nice to Have Skills: Prior experience in behavioral health or mental health services. Knowledge of hospital procedures and healthcare regulations. Bilingual abilities to serve diverse patient populations. Experience with crisis intervention and trauma-informed care. Preferred Education and Experience: Valid Georgia LCSW license. At least two years of relevant clinical experience in an inpatient hospital setting. Other Requirements: Availability to work night shifts (8:00 PM - 8:00 AM, 12-hour shifts). Ability to work within a fast-paced, high-stress environment. Willingness to adhere to all hospital policies, safety protocols, and confidentiality standards. No local candidates within 50 miles of the facility. This position offers an hourly pay rate of $48.41, along with competitive benefits including weekly pay via direct deposit, comprehensive medical coverage, paid sick leave, licensure and travel reimbursements where applicable, and a supportive team dedicated to your growth and success. Take the next step in your professional journey and apply now to join our team of dedicated healthcare professionals. Your compassion and expertise can truly change lives-be part of something meaningful today. VHS is an Equal Opportunity Employer (“EEO”)/Protected Veterans/Individuals with Disabilities/E-Verify Employer and welcomes all to apply #LiveYourLife

Visiting Nurse Health System (Visiting Nurse) is seeking a Medical Social Worker with experience in the Home Health space. The ideal candidate provides social, emotional, and psychological services/counseling to terminally ill patients and their bereaved families, enabling the patient to maintain independence and remain at home. The Home Health Medical Social Worker will facilitate alternative care placement requested by patient/family to an appropriate facility. Our values at Visiting Nurse, Respect and Integrity, Excellence, Stewardship, and Care are paramount to patient care and among our team members. If you are that special MSW that is looking for a rewarding opportunity, then we want to meet you at are office in Dunwoody, GA 30346. Who is Visiting Nurse Health System... Serving the Atlanta Area for over 75 years, Visiting Nurse is a leading provider of home healthcare, long-term care at home, hospice, and palliative care services, helping patients and their loved ones receive care at home following an illness, surgery, or hospital stay. Our vision is to be the first choice for patients, families, payers, and other healthcare providers when they need home healthcare services. To achieve patient and employee satisfaction scores and clinical outcomes within the top 10 percent of all home healthcare providers in the U.S. To continue to invest in our strong community partnerships, coordinated care solutions, top-performing workforce, and innovative technologies to improve affordability throughout the healthcare continuum. To be a financially strong organization where healthcare professionals prefer to work. For more information about Visiting Nurse, please visit vnhs.org. In this position... * This position will serve the following territories: Cobb, Fulton, North Fulton and Dekalb County * Demonstrates the skill and knowledge in counseling patients/ families using a variety of clinical theories of short- & long-term interventions; including identifying social, emotional, financial & environmental needs/issues and develop appropriate intervention plan * Demonstrates sensitivity and skill in discussing loss issues with both children and adults. * Demonstrates skill to assess the patient /family's coping ability e.g. strengths, weakness, and socio-cultural environment to develop a sound base for an instructional plan. * Demonstrates knowledge of agency policies and procedures related to social work to provide services within approved social worker parameters. * Demonstrates knowledge of eligibility criteria for federal and state services such as Medicare, Medicaid, AHS, SSI, Welfare, Veteran s benefits, etc. Assists patients/families to receive benefits to which they are eligible. * Completes initial assessment on patient and family within seven days of admission to the hospice home care program or residential center. * Assists patient/patient family with necessary forms, applications, documents in a timely manner that are required by outside agencies (i.e., OLPH, SWC applications, Medicare/Medicaid revocation/election/re-certification forms) * Ensures that documentation is consistent with the format required by departmental standards (i.e., progress notes reflect care plans.) * Demonstrates the ability to follow through in a thorough and timely manner on tasks assigned by management team and requests made by patients/families, referral sources, and community Do you have.... * Master's degree in social work from an accredited institution of higher learning * GA licensure; LCSW preferred * Must have reliable transportation, valid driver's license, and current vehicle insurance * Minimum of 1 year experience Benefits: * Medical, Dental, and Vision insurance * Employee Assistance Program * Employee Discount * Flexible Schedule * Flexible Spending Account (FSA) * Health Savings Account (HSA) * Life & Supplemental insurance * PTO and 9 Holidays * 403b w/company match * Pet Insurance * Travel Assistance Range: * Salary Range is from $56,000- 84,000 Visiting Nurse is an equal opportunity employer and does not discriminate against qualified applicants based on based on race, color, sex, gender, gender identity, gender expression, religious creed, sexual orientation, pregnancy, national origin, ancestry, age, military and veteran status, marital status, physical or mental disability, protected medical condition, genetic information, reproductive health decision-making, lawful off-duty use of marijuana, any other characteristic protected by law, or any combination of two or more of the characteristics listed here. If you need an accommodation to complete an online application, please contact Visiting Nurse at ************. #INDVN1 Day Shift

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs). Work Shift Night Work Day(s) Variable Shift Start Time Variable Shift End Time Variable Worker Sub-Type PRN Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's. Job Description Ensures that high-quality, comprehensive social work services are provided which support healthcare and coordinate the psychosocial needs of patients and families. Experience * Three years of experience in postgraduate social work Preferred Qualifications * Experience in a medical setting and/or with children and families Education * Master's degree in social work from an accredited graduate school Certification Summary * Georgia or other state Licensed Clinical Social Worker (LCSW) * Must be eligible for and obtain Georgia LCSW within 90 days of employment Knowledge, Skills, and Abilities * Must be able to successfully pass the Basic Windows Skill Assessment at 80% or higher rating within 30 days of employment * Ability to work as part of interdisciplinary team * Strong interpersonal skills * Knowledge of age-appropriate treatment and practice * Organizational and analytical skills Job Responsibilities * Completes comprehensive psychosocial assessments to identify strengths and potential barriers across the continuum of care as relates to patient health and wellbeing. * Assists patients and families in coping with illness, trauma, hospitalization, and end of life based on principles of growth and development, family systems, and cultural considerations. * Assists families and healthcare team in making plans for discharge and ongoing medical care and treatment related to psychosocial needs. * Assists families in accessing resources to achieve and/or maintain stabilization and self-sufficiency. * Assesses patients and families for safety, abuse, neglect concerns, and serves as the mandated reporter for hospital campuses or assigned service area to Child Protective Services and Adult Protective Services and Law Enforcement. * Provides information and acts as liaison for child protection, custody, supervision, visitation, and other safety needs on behalf of the family, interdisciplinary team, and community organizations. * Documents and maintains updated patient information pertaining to services provided. * Active participation in social work and system initiatives such as: supervision of master's level social work student, completion of presentations/events (internal, community), special programs/project participation, committee participation (unit, department, system), critical shift/vacancy/FMLA coverage, onboarding/mentoring support, camp participation, department/system/unit volunteer support or training (bereavement, reunions, service of remembrance), superuser (Voalte, EPIC, Redcap, High Risk Screens), works independently with limited supervision, serving as a peer mentor or informal leader in the absence of onsite leadership. Children's Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law. Primary Location Address 35 Jesse Hill Jr Dr SE Job Family Social/Emotional/Spiritual Support

Step into a purpose-driven Travel Social Worker role in Medical Social Work, anchored in Cumming, Georgia, with a start date of 02/16/2026. This compelling assignment invites you to blend clinical expertise with compassionate advocacy, guiding patients and families through complex health journeys, coordinating discharge plans, linking them to essential services, and empowering them to navigate the road to recovery with dignity. In Georgia, you'll feel the warmth of a community that values care, collaboration, and the chance to make a tangible difference each day. And beyond work, you'll have the opportunity to discover the state's diverse beauty-from the lush foothills near the Blue Ridge to the serene waters around Lake Lanier, the historic charm of Savannah, and iconic sites like Stone Mountain. Georgia's landscapes, culture, and friendly spirit provide the perfect backdrop for a career that embraces both excellence and exploration. In Cumming you'll enjoy convenient access to modern hospitals and community clinics, supportive interdisciplinary teams, and a network that understands the unique needs of medical social work. The area blends suburban comfort with easy access to the bustle of Atlanta, offering dining, culture, outdoor recreation, and family-friendly amenities after your shifts. For those drawn to broader horizons, this assignment also opens the door to opportunities to work in various locations across the U.S., allowing you to broaden your professional perspective, gain experience with diverse populations, and build a resilient, transportable skill set that enhances your long-term career trajectory. As a Medical Social Worker on this travel assignment, you'll assess psychosocial needs, identify barriers to care, and develop actionable care plans that align with medical teams and patient goals. You'll facilitate timely discharges, coordinate community resources, initiate crisis intervention when needed, and provide counseling to patients and families facing acute illness, chronic conditions, or end-of-life considerations. You'll document thoroughly, advocate for patient rights, and collaborate with nurses, physicians, social work peers, case managers, and external agency partners. You'll have opportunities for professional growth through exposure to varied clinical settings, complex cases, and leadership experiences as you mentor junior staff or lead care coordination initiatives. In addition to meaningful clinical work, you'll receive competitive compensation, including a base pay within the stated range, plus a bonus program designed to recognize excellence, a housing assistance option to ease temporary relocation, and potential extension opportunities once initial terms conclude. The role includes guaranteed hours-40.0 per week-so you can plan with confidence. And because travel can be demanding, you'll have 24/7 support from a dedicated travel team, ensuring you have resources, guidance, and backup whenever you need it as you move between assignments and facilities. Our partner organizations are built on empowering staff, fostering clinical expertise, and nurturing a supportive work environment where your growth is prioritized. You'll be encouraged to pursue ongoing training, certification, and career advancement opportunities, with mentorship, peer collaboration, and accessible leadership guiding your path. We believe that when you invest in your wellbeing, you deliver better care; we invest in you with resources, planning support, and a culture that respects your professional voice. If you're ready to apply, seize this exciting chance to join a company that values your contribution and is committed to your ongoing professional development. Bring your empathy, resilience, and clinical know-how to a role that honors both patients and families, while expanding your horizons across Georgia and beyond. Begin your journey in Cumming on 02/16/2026, with a contract that respects your time, your expertise, and your ambition. Please note: The hours and pay rates listed are estimates and may vary. Final compensation packages and guaranteed hours will be confirmed during the hiring process. Privacy & Consent By applying, you agree to TLC Healthforce's Privacy Policy and consent to receive job-related text messages; message/data rates may apply. Reply STOP to opt out. About TLC Nursing TLC Healthforce is a nationwide travel healthcare staffing agency pairing Nursing and Allied Health professionals with high-quality travel and local contracts across the U.S. ShiftShield™ - Traveler Protection ShiftShield™ protects travelers from preventable facility-driven cancellations and ensures fair compensation for schedule disruptions. Why Travelers Choose TLC Competitive weekly pay Fast credentialing 24/7 recruiter & clinical support Nationwide assignments Referral Bonus Earn up to $1,000 per referral - no employment required. EEO Statement TLC Healthforce is an Equal Opportunity Employer.

ARE YOU LOOKING FOR AN EMPLOYEE-CENTERED, PATIENT FOCUSED, LOCALLY OWNED HOSPICE? We are an EMPLOYEE-CENTERED, PATIENT-FOCUSED, LOCALLY-OWNED organization that is offering a rewarding opportunity to make a meaningful impact in the lives of individuals and their families during challenging times. Our hospice agency is dedicated to providing exceptional care and support to patients and their loved ones as they navigate the journey towards the end of life. We are seeking compassionate individuals who share our commitment to providing comfort, dignity, and quality of life to those in need. If you're passionate about offering holistic care and creating a supportive environment, we invite you to explore the opportunities available within our hospice agency. Join Guiding Light Hospice today in making a difference every day. BENEFITS Highly Competitive Salary Paid Weekly 401K with Company Match Medical, Dental and Vision Insurance Generous PTO Plan Six Paid Holidays Employee Centered Patient Focused Organization HOSPICE MEDICAL SOCIAL WORKER The hospice medical social worker is responsible for the implementation of standards of care for medical social work services and for adherence to all conditions in the Service or Employment Agreement. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES 1. Assesses the psychosocial status of patients and families/caregivers related to the patient's terminal illness and environment and communicates findings to the registered nurse and other members of the interdisciplinary group. Provides an assessment in the patient's identified residence and assistance when this is not safe, and another plan is required. 2. Carries out social evaluations, including family dynamics, caregiver abilities, communication patterns, high-risks for suicide, neglect or abuse and plans intervention based on evaluation findings. Counsels patient and family/caregivers as needed in relationship to stress, and other identified coping difficulties. Provides crisis intervention when necessary. 3. Assesses for, and educates interdisciplinary group, on any special needs related to the culture of the patient and family. Includes communication, role of family, space, and any special traditions or taboos. 4. Maintains clinical records on all patients referred to social work. 5. Educates patients and families on, and assists in, preparation of advanced directives. 6. Provides information and referral services for organization patients and families/caregivers regarding practical and environmental needs. 7. Provides information to patients and families/caregivers and community agencies. 8. Serves as liaison between patients and families/caregivers and community agencies. 9. Maintains collaborative relationships with organization personnel to support patient care. 10. Maintains and develops contracts with public and private agencies as resources for patient and personnel. 11. Participates in the development of the individualized plan of care, involving the patient and family, and attends regularly scheduled interdisciplinary group meetings, assisting the team in recognizing the effects of the psychosocial stresses on the symptoms of the terminal illness. 12. Assists physician and other team members in understanding significant social and emotional factors related to health problems and death/dying issues. 13. Actively participates in quality assessment performance improvement teams and activities. 14. Assists family and patient in planning for funeral arrangements, financial, legal, and health care decision responsibilities. 15. Other duties as delegated by the Clinical Supervisor. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description. POSITION QUALIFICATIONS 1. A graduate of a master's program in social work (MSW) accredited by the Council on Social Work Education OR 2. A graduate of a master's program in social work accredited by the Council on Social Work Education. Meets personnel qualifications stated in §418.114(b)(3). 3. Minimum of one (1) years' experience in health care, hospice experience preferred. Understands hospice philosophy, and issues of death/dying. 4. Experience in a hospice care preferred. 5. Demonstrates good verbal and written communication, and organization skills. 6. Possesses and maintains current CPR Certification. 7. Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order.

A Social Worker provides support and resources to individuals and families facing social, emotional, and health-related challenges. Responsibilities include assessing client needs, developing care plans, connecting individuals to community services, and advocating for their well-being. Apply for specific facility details.

Part-time Description Join Life Care Home Health Family! Serving Texas, Florida, Nevada, and Georgia, we provide skilled nursing, therapy, homecare, hospice, palliative care, and private duty services. Why Work With Us? Nestmed AI Scribe: Less charting, more caring! Competitive pay, 401k, health & life insurance Flexible schedules & career growth opportunities Continuing education & recognition programs Supportive, family-like team culture Make a difference in patients' lives while enjoying work-life balance. Apply today and grow with us! General Position Description: Medical Social Services will be provided by a qualified social worker under the direction of a physician. Medical Social work services will be based on the patient's psychosocial assessment and the patient and family's needs. The Master of Social Work is responsible for supporting and supervising Medical Social Workers to deliver high-quality care consistent with standards of practice. The Master of Social Work may also deliver medical social services to patients, participate in the coordination of care with the Interdisciplinary Group/Team (IDG/T), and participate in on-call rotation per the Hospice needs. The Master of Social Work reports to the Hospice Administrator. Role Expectations: Provide supervision for Medical Social Workers consistent with training and experience of Medical Social Workers. Also taking into consideration the complexity of patient care and collaboration with the IDT/G. Be readily available when social services are being provided. The supervising Master of Social Work must hold documented conferences with the Medical Social Worker regarding patient care. The Master of Social Work is responsible for determining the frequency of the conferences consistent with accepted standards of practice. Assesses and completes the Comprehensive Assessment within five (5) days of the patient's election of hospice care to identify patient and family's psychosocial, financial, environmental and community needs as evidence by POC, documentation, clinical records, IDG/T meetings and community resource referrals. Assists with advance directives, funeral planning, discharge planning, family counseling and may assist in changes in the level of care as indicated by the patient or family's needs. Meets mandatory continuing education requirements of the Hospice and licensing board. Demonstrates commitment, professional growth, and competency by maintaining a working knowledge of public and private eligibility standards and requirements. Provides patient and family/caregiver counseling around issues of end-of-life, death, and grief. Attends IDG/Team meetings, participate in the patient care planning process and coordinating and collaborating with the IDG to promote coordination of patient care. Provides an environment that promotes respect for patients and their privacy and property. Provides services utilizing infection control measures (OSHA) Timely submission of all required paperwork. Demonstrates commitment and professional growth by participating in hospice-sponsored in-service programs and maintaining or improving competency. Participates in the Hospice's QAPI program. Promotes the Hospice's philosophy and administrative policies. Performs on-call responsibilities and provides on-call services to patients and their families as assigned. Meets productivity standards. Provides effective communication to patients, their family members, team members, and other health care professionals. Transportation: Reliable transportation and valid auto liability insurance Requirements Education and experience: Graduate of Medical Social Work degree as a Licensed Medical Social Worker. Graduate of a Master program Adhere to state regulations where practicing including: Texas Behavioral Health Executive Council Standards Evidence of passing the Texas Jurisprudence Exam Licensure: Current drivers' license Experience: One (1) year of experience in palliative care or hospice preferred. Skills: Working knowledge of community resources. Good interpersonal skills. Demonstrates ability to work with computers. Physical Requirements: Environmental and Working Conditions: Works in patient homes in various conditions; possible exposure to blood, bodily fluids, and infectious diseases; ability to work a flexible schedule; ability to travel locally; some exposure to unpleasant weather; PRN emergency calls. Physical and Mental Effort: Prolonged standing and walking required, with ability to lift up to 50lbs and move patients. Requires working under some stressful conditions to meet deadlines and patient needs, and to make quick decisions and resource acquisition; meet patient/family individualized psychosocial needs. Requires eye-hand coordination and manual dexterity. Ability to communicate with patients, families, physicians, co-workers, and visitors to be able to exchange accurate information regarding patient condition and health status. Ability to exchange and express information by means of language and communicate information effectively. Ability to hear the nature of sounds. Ability to give full attention to what other people are saying, take time to understand the points being made, ask questions as appropriate, and not interrupt at inappropriate times. Ability to make independent judgments and decisions. Ability to use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems. Ability to view tablet, Electronic Health Record, and review, assess, record or type data quickly and accurately. Ability to travel to patient homes and office/support center locations as needed to deliver care or for education purposes. This description is a general statement of essential functions that are required to be performed on a regular and continuous basis. It does not exclude other duties as assigned

General Purpose: The primary purpose of your job position is to assist in planning, developing, organizing, implementing, evaluating, and directing our facility's social service programs in accordance with current existing federal, state, and local standards, as well as our established policies and procedures, to assure that the medically related emotional and social needs of the resident are met/maintained on an individual basis. Essential Job Functions: This facility expects their employees to promote an atmosphere of teamwork with other employees and hospitality and comfort for its residents. Therefore, the following list of duties is not all-inclusive: Assist the Social Service Director/Consultant in the planning, developing, organizing, implementing, evaluating and directing of the social service programs of this facility. Meet with administration, medical and nursing staff, and other related departments in planning social services, as directed. Assist in developing and implementing policies and procedures for identifying the medically related social and emotional needs of the resident. Participate in community planning related to the interests of the facility and the services and needs of the resident and family. Participate in discharge planning, development and implementation of social care plans and resident assessments. Perform administrative requirements, such as completing necessary forms, reports, etc., and submitting such to the Director. Involve the resident/family in planning social service programs when possible. Assist in arranging transportation to other facilities when necessary. Provide information to resident/families as to Medicare/Medicaid, and other financial assistance programs available to the resident. Compile information on discharge plans and present to appropriate committee as required. Coordinate social service activities with other departments as necessary. Work with the facility's consultants as necessary and implement recommended changes as required. Make routine visits to residents and perform services as necessary. Make written and oral reports/recommendations to the Director concerning the operation of the social services department. Assist in making appointments for the resident/family as required or appropriate. Assist in providing solutions for social and practical environmental problems including seeking financial assistance, discharge planning (including collaboration with community agencies) and referrals to other community agencies when specialized assistance is required. Assist in obtaining resources from community social, health and welfare agencies to meet the needs of the resident. Assist in the education of the community regarding aging, rights of residents, facility services and other related topics. Orient the resident to the long-term care environment and facilitate adjustment upon placement. Attend in-service education programs in order to meet facility educational requirements. Be familiar with Standard Precautions, Exposure Control Plan, Fire Drill and Evacuation Procedures and know how to use the information. Maintain confidentiality of resident and facility records/information. Protect residents from neglect, mistreatment, and abuse. Protect the personal property of the residents of the facility. Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. Others as deemed necessary and appropriate, or as may be directed by the Social Services Director or Administrator. Minimum Qualifications: Good assessment, listening, and counseling skills. Organized and detailed in work performance. Good communication skills with excellent self-discipline and patience. Genuine caring for and interest in elderly and disabled people in a nursing facility. Comply with the Residents' Rights and Facility Policies and Procedures. Perform work tasks within the physical demand requirements as outlined below. Perform Essential Duties as outlined above.

PURPOSE AND SCOPE: Supports the mission, core values and customer service of Home Dialysis Services LLC (HDS). Adheres to the Home Dialysis Services Policies and Procedures and Compliance Program including all state and federal regulatory requirements. The Social Worker provides Social Services to patients to maximize the patients' well-being and improve outcomes. Also works as part of an Interdisciplinary Team to maximize patient care and support the company to meet those goals of the QAPI activities. PRIMARY DUTIES / ACTIVITIES: Conduct assessments and devise plans of care to help improve adjustment to dialysis Assist with home management in conjunction with the Inter-Disciplinary Team (IDT) Communicate effectively with the IDT about patient issues, intervention and goals Consult with doctors, therapists and medical professionals Work with admissions to ensure insurance issues are addressed Actively participate in activities that elevate clinical outcomes throughout the QAPI process Work with Crown web for submission of data Participate in individual & group projects as directed by management Other duties, as assigned CUSTOMER SERVICE: Responsible for supporting the values and customer service standards of HDS. Accountable for outstanding customer service to all staff, clients and vendors Develops and maintains effective relationships through effective and timely communication. Initiates action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner EXPERIENCE AND REQUIRED SKILLS: Must be PC proficient and able to thrive in a fast-paced setting; experience in Microsoft Office Suite: Outlook, Word and Excel a must; Good presentation & communication skills Must be productive & resourceful with the ability to meet deadlines OTHER QUALIFICATIONS Must be a self-starter who can work independently yet function in a highly collaborative, fast-paced team environment. Ability to multi-task, work under pressure and meet deadlines effectively Excellent written and oral communication skills Strong data entry, organizational and interpersonal skills High integrity, team player with patient service focus and flexibility EDUCATION: Minimum 1 year of experience working as a renal social worker Masters of Social Work, required Licensed Social Worker (LSW) required Medical Plans: Two PPO Plans (Preferred Provider Organization) HSA Plan (Health Savings Account) A plan that allows you to set aside pre-tax money for medical expenses. Additional Benefits: 1. Dental Plans (Two options available) 2. Vision Plan 3. Basic Life Insurance 4. Critical Illness Insurance 5. Accident Insurance 6. Hospital Indemnity Insurance 7. Long-Term Disability Company-Sponsored Plans: Basic Life Insurance Short-Term Disability Insurance PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and interaction with prospective and current clients. The position requires travel between assigned facilities and various locations. Travel to scheduled staff meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. The work environment is also characteristic of a dialysis center or a patient's home and as such the employee may be exposed to infectious and contagious diseases/ materials.

Benefits: Competitive salary Flexible schedule Job Details: Job Title: Social Worker Duration: 8 Weeks Contract Shift: Day Shift 5 x 8 (08:00 am - 04:30 pm) 40 hours per week Job Description: 2 years of Social Worker experience required GA LCSW required Acute hospital experience required Covid Card Unfeigned Regards , Saikumar Thathari | Health Care Recruiter Phone No:- ************ Email: ********************************* GeniePro Healthcare Inc | Alpharetta GA 30022| **************************

$10,000 Sign On Bonus for RN $2,000 Sign On Bonus for Social Worker Palliative medicine manages symptoms associated with serious illness and assists families with complex medical decision making. Palliative medicine at Tanner Medical Center is comprised of physician, nurse practitioner, licensed clinical social worker, and nursing. It differs from hospice services in that patients receiving palliative consults are still pursuing active medical management Required Knowledge & Skills Education: See License/Certification Requirements Experience: Three years of related experience. Requires working knowledge of specialized practices, equipment, and procedures. Licenses and Certifications *GEORGIA REGISTERED NURSE LICENSE OR MULTISTATE NURSING LICENSE Qualifications *Current Georgia License. *Minimum of 3 years of clinical experience with palliative care, hospice care or Oncology preferred. *Ability to function with a synergistic team

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Responsibilities The Care Coordinator will be responsible for working with neonate, adolescent, adult, and geriatric patients, families, medical staff and community agencies to determine the appropriate setting of care and appropriateness of hospitalization, as well as to assess post hospital care needs. Provides the necessary interventions in order to assure effective and efficient clinical resource management. Provides intervention regarding adjustment to hospitalization, crisis intervention and psychosocial assessment. Will be actively involved in Discharge Planning and Utilization Review in a progressive acute care setting. Qualifications REQUIRED Masters of Social Work (MSW) OR Bachelor's degree in health-related field. PREFERRED Three (3) years of experience in case management, social services or related field. One (1) year of experience in utilization review. Certified Case Manager. Work Hours: 7AM-730PM Weekend Requirements: Yes On-Call Requirements: No

About Us Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, and Georgia. Ennoble Care's clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust. We seek individuals who are driven to make a difference and embody our motto, “To Care is an Honor.” Join Ennoble Care today! Ennoble Care is seeking a Full-time Social Worker Care Manager (Hybrid) to service our patients within and around the Griffin, GA area. This role is well-suited for early-career social workers looking to build experience in integrated behavioral health within a collaborative, team-based environment. This position will be primarily remote with occasional travel to patients homes/facilities. Responsibilities: Support the mental and physical health care of patients on an assigned patient caseload. Screen and assess patients for common mental health and substance abuse disorders. Facilitate patient engagement and follow-up care. Provide patient education about common mental health and substance abuse disorders and the available treatment options. Systematically track treatment response and monitor patients (in person or by telephone) for changes in clinical symptoms and treatment side effects or complications. Support psychotropic medication management by consulting with the behavioral health consultant and then communicating with the primary care provider assigned. Provide brief behavioral interventions using evidence-based techniques such as behavioral activation, problem-solving treatment, motivational interviewing, or other treatments as appropriate. Provide or facilitate in-clinic or outside referrals to evidence-based psychosocial treatments (e.g. problem-solving treatment or behavioral activation) as clinically indicated. Participate in regularly scheduled (usually weekly) caseload consultation with the psychiatric consultant and communicate resulting treatment recommendations to the patient's medical provider. Consultations will focus on patients new to the caseload and those who are not improving as expected under the current treatment plan. Case reviews may be conducted by telephone, video, or in person. Track patient follow up and clinical outcomes using a registry. Document in-person and telephone encounters in the registry and use the system to identify and re-engage patients. Registry functions can be accomplished through an EHR build, on a spreadsheet used in conjunction with an EHR, or can be built into a stand-alone clinical management tracking system that may or may not be linked to an EHR. Document patient progress and treatment recommendations in EHR and other required systems so as to be shared with medical providers, psychiatric consultant, and other treating providers. Facilitate treatment plan changes for patients who are not improving as expected in consultation with the medical provider and the psychiatric consultant and who may need more intensive or more specialized mental health care. Facilitate referrals for clinically indicated services outside of the organization (e.g., social services such as housing assistance, vocational rehabilitation, mental health specialty care, substance abuse treatment). Develop and complete relapse prevention self-management plan with patients who have achieved their treatment goals and are soon to be discharged from the caseload. Be comfortable utilizing Excel and Word and completing assessments and productivity trackers daily. Time-management skills are a must and the BHCM needs to be able to manage their day effectively through calendars and the EMR system. This role is telephonic, however in person visits are done and the BHCM has to be comfortable completing them both ways. Qualifications: The Social Worker Care Manager will have a minimum of MSW Preferred Licensure or provisionally licensed Behavioral Health experience and knowledge Must be licensed driver with an insured automobile in good working order Ability to communicate effectively, both verbally and in writing. Time Management skills Full-time employees qualify for the following benefits: Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity. Paid Time Off Paid Office Holidays All employees qualify for these benefits: Paid Sick Time 401(k) with up to 3% company match Referral Program Payactiv: pay-on-demand. Cash out earned money when and where you need it! Prior behavioral health experience is helpful but not required. New MSW graduates are encouraged to apply. The salary for this position starts at $50,000. #tan Full-time employees qualify for the following benefits: Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity. Paid Time Off Paid Office Holidays All employees qualify for these benefits: Paid Sick Time 401(k) with up to 3% company match Referral Program Payactiv: pay-on-demand. Cash out earned money when and where you need it! Candidates must disclose any current or future need for employment-based immigration sponsorship (including, but not limited to, OPT, STEM OPT, or visa sponsorship) before an offer of employment is extended. Ennoble Care is an Equal Opportunity Employer, committed to hiring the best team possible, and does not discriminate against protected characteristics including but not limited to - race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.

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.  

Join Our Team as a Social Worker - Make a Difference in Patients' Lives Are you a dedicated Social Worker passionate about providing compassionate care within a hospital setting? We are seeking a talented individual to join our team, offering a rewarding opportunity to support patients during critical moments. This role is vital in ensuring comprehensive psychosocial support, fostering positive outcomes, and making a meaningful impact on individuals and their families. Key Responsibilities: Conduct psychosocial assessments and develop tailored care plans. Collaborate with healthcare teams to coordinate resources and support. Provide counseling and emotional support to patients and families. Assist with discharge planning, ensuring seamless transitions. Maintain accurate documentation in compliance with hospital policies and regulations. Required Skills: Minimum of 2 years of hospital-based Social Work experience within a specialty setting. Current certification of BLS and LCSW in the state of Georgia. Strong interpersonal and communication skills. Ability to manage multiple priorities effectively. Knowledge of healthcare regulations and patient confidentiality standards. Nice to Have Skills: Experience working with diverse patient populations. Additional certifications in specific therapeutic modalities. Bilingual abilities to serve a broader patient demographic. Crisis intervention experience. Preferred Education and Experience: Bachelor's or Master's degree in Social Work (BSW or MSW preferred). At least 2 years of relevant hospital-based experience focusing on patient care and discharge planning. Other Requirements: Availability to work evening shifts from 3:30 PM to 12:00 AM, with an 8-hour shift length. Ability to travel within hospital units as needed. Valid Georgia license for Social Work (LCSW). Willingness to adhere to all hospital policies and procedures. This is an excellent opportunity to join a dedicated team committed to making a difference. With competitive pay at $43.62 per hour, weekly direct deposit, comprehensive benefits, and supportive resources, you can thrive both professionally and personally. If you are ready to contribute your expertise and compassion, we encourage you to apply today and become a vital part of our healthcare community. VHS is an Equal Opportunity Employer (“EEO”)/Protected Veterans/Individuals with Disabilities/E-Verify Employer and welcomes all to apply #LiveYourLife

Job Description PURPOSE AND SCOPE: Supports the mission, core values and customer service of Home Dialysis Services LLC (HDS). Adheres to the Home Dialysis Services Policies and Procedures and Compliance Program including all state and federal regulatory requirements. The Social Worker provides Social Services to patients to maximize the patients' well-being and improve outcomes. Also works as part of an Interdisciplinary Team to maximize patient care and support the company to meet those goals of the QAPI activities. PRIMARY DUTIES / ACTIVITIES: Conduct assessments and devise plans of care to help improve adjustment to dialysis Assist with home management in conjunction with the Inter-Disciplinary Team (IDT) Communicate effectively with the IDT about patient issues, intervention and goals Consult with doctors, therapists and medical professionals Work with admissions to ensure insurance issues are addressed Actively participate in activities that elevate clinical outcomes throughout the QAPI process Work with Crown web for submission of data Participate in individual & group projects as directed by management Other duties, as assigned CUSTOMER SERVICE: Responsible for supporting the values and customer service standards of HDS. Accountable for outstanding customer service to all staff, clients and vendors Develops and maintains effective relationships through effective and timely communication. Initiates action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner EXPERIENCE AND REQUIRED SKILLS: Must be PC proficient and able to thrive in a fast-paced setting; experience in Microsoft Office Suite: Outlook, Word and Excel a must; Good presentation & communication skills Must be productive & resourceful with the ability to meet deadlines OTHER QUALIFICATIONS Must be a self-starter who can work independently yet function in a highly collaborative, fast-paced team environment. Ability to multi-task, work under pressure and meet deadlines effectively Excellent written and oral communication skills Strong data entry, organizational and interpersonal skills High integrity, team player with patient service focus and flexibility EDUCATION: Minimum 1 year of experience working as a renal social worker Masters of Social Work, required Licensed Social Worker (LSW) required Medical Plans: Two PPO Plans (Preferred Provider Organization) HSA Plan (Health Savings Account) A plan that allows you to set aside pre-tax money for medical expenses. Additional Benefits: 1. Dental Plans (Two options available) 2. Vision Plan 3. Basic Life Insurance 4. Critical Illness Insurance 5. Accident Insurance 6. Hospital Indemnity Insurance 7. Long-Term Disability Company-Sponsored Plans: Basic Life Insurance Short-Term Disability Insurance PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and interaction with prospective and current clients. The position requires travel between assigned facilities and various locations. Travel to scheduled staff meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. The work environment is also characteristic of a dialysis center or a patient's home and as such the employee may be exposed to infectious and contagious diseases/ materials.

$10,000 Sign On Bonus for RN $2,000 Sign On Bonus for Social Worker Palliative medicine manages symptoms associated with serious illness and assists families with complex medical decision making. Palliative medicine at Tanner Medical Center is comprised of physician, nurse practitioner, licensed clinical social worker, and nursing. It differs from hospice services in that patients receiving palliative consults are still pursuing active medical management Required Knowledge & Skills Education: See License/Certification Requirements Experience: Three years of related experience. Requires working knowledge of specialized practices, equipment, and procedures. Licenses and Certifications * GEORGIA REGISTERED NURSE LICENSE OR MULTISTATE NURSING LICENSE Qualifications * Current Georgia License. * Minimum of 3 years of clinical experience with palliative care, hospice care or Oncology preferred. * Ability to function with a synergistic team Statement Of Employment Philosophy Being a part of Tanner Health System is more than a job, it is a promise we make to treat every patient with exceptional service every time they walk through our doors. Service excellence is the foundation of our organizational culture and the expectations we all set for each other, our patients, physicians and our community. All employees agree to abide by a set of service standards. These standards are the promise we make to provide the best care possible, and represent our beliefs, values and who we strive to become. We each commit to making Tanner Health System a great place for our employees to work, for patients to receive care and for physicians to practice medicine. Functions Area of Responsibilities * Works collaboratively with palliative care team to respond to patient consults for goals of care discussions, advance directive education, family conferences, psychosocial support and other circumstances as requested. Performs basic chart review after consult and confers with attending or referring provider to determine appropriate course of care. * Maintains a positive relationship with Tanner Hospice as our partner of choice, and other community hospice companies to ensure care coordination throughout the continuum. * Supports and reinforces education provided by palliative care team to patients and families about palliative care, hospice care and care coordination needs. * Collaborates with case managers for discharge planning needs related to palliative discussions regarding long term care needs, hospice needs or community follow up as indicated. * Attends and contributes to weekly palliative meetings. * Uses clinical skill set to assist the team and facilitate family meetings for goal- oriented family meetings to assist in resolving barriers and develop safe and realistic disposition. * Adheres to the practice of confidentiality regarding patients, families, staff and the organization * Has a strong understanding of care across the lifespan with a specific focus on physiologic norms and age specific care and is able to adapt treatment plan as necessary. Communicates effectively with patients, families and members of the interdisciplinary team. * Nursing process- under the direction and supervision of a physician, APP or RN, participates in patient assessment activities and the planning, implementation and evaluation of the delivery of palliative care and other specialized tasks consistent with board of nursing rules and regulations. * Independently motivated and driven to achieve high goals and seek continuous improvement in knowledge and skills. * Conducts goal of care conversations to better understand patient values, goals, understanding of illness, expectations for future care and benefits, harms, caregiver needs, and how current care or future care plans are contributing to expected to contribute to meeting needs, goal, and values. * Participates in departmental informational meetings and in-services, including staff meetings and forums when necessary. participates as back up palliative representative for quarterly Cancer Committe meetings. * Customer focus Recognizes patient as an individual, ensuring patient's needs and comforts are given priority. Have a comprehensive understanding of Georgia Medical Consent Law (O.C.G.A. 31-9-1 et seq) * Responsible for palliative coverage, M-F 8- 4:30pm at Carrollton and Villa Rica campuses Compliance Statement * Employee performs within the prescribed limits of Tanner Health System's Ethics and Compliance program. Is responsible to detect, observe, and report compliance variances to their immediate supervisor, the Compliance Officer, or the Hotline. Required Knowledge & Skills Education: See License/Certification Requirements Experience: Three years of related experience. Requires working knowledge of specialized practices, equipment, and procedures. Licenses and Certifications * GEORGIA REGISTERED NURSE LICENSE OR MULTISTATE NURSING LICENSE Supervision * NONE Qualifications * Current Georgia License. Multistate license preferred * Minimum of 3 years of clinical experience with palliative care, home health services, and or hospice care. * Ability to function with a synergistic team Definitions Palliative care is care that reduces the severity of disease or condition with curing it. Symptom management and goal discussions are paramount to the role. This will be an experienced nurse who demonstrates competency in all aspects of job requirements, is self- motivated and will take an active role in patient and staff education and performance improvement initiatives. The Palliative nurse will help to ensure each referred patient received information and guidance on a plan that is based on the wishes of the patient. The Palliative Care nurse will work with an interdisciplinary team including MD, Social worker, chaplain and APP. Position Responsibilities Contact with Others: Devotes most of time to intensive contact with key people or intermittent contacts with many people at all levels. Requires maximum knowledge of organization policies and objectives, persuading, negotiating, and planning strategy and timing to the best effect, to gain acceptance of the point of view of the organization. Effect of Error: Probable errors not easily detected and may adversely affect external as well as internal relationships and may result in major expenditures for equipment, materials, or procedures detrimental to the patient's welfare or the organization's interest. Work is subject to general review only and requires considerable accuracy and responsibility. Continually works with reports, records, plans, and programs of a major functional area of the organization where integrity is required to safeguard the organization's position. Duties may involve the preparation of data on which the administration bases important decisions and are highly confidential. People Management Responsibilities Supervisory Responsibility: Exercises no supervision, work direction, or instruction of other employees or students Work Environment/Physical Effort Mental Demands: Tasks are multiple and diverse with some interrelationship across processes. Handles some unrelated functions. Work requires the direct application of a variety of procedures, policies, and/or precedents. Some responsibility for budget and expenditure authority. Develops objectives and general policies and procedures for a specific program or functional area of responsibility within general scope of established operational goals and plans. Day-to-day work and decisions do not require direction or review by immediate supervisor. Frequently solves complex problems. End results are reviewed by supervisor. Strategic issues are referred to supervisor. Working Conditions: Generally pleasant working conditions/normal office environment. Working Conditions Aspects for Immunizations Performs tasks involving contact with blood, blood-contaminated body fluids, other body fluids, or sharps (needles): No Directly works with Patients less than 12 months of age: No Physical Effort: Minimum physical effort - Physical demands encountered are those of a typical office job. Physical Aspects Bending: Not required Typing: Frequent = 34% - 66% of the time Manual Dexterity -- picking, pinching with fingers etc.: Occasional = 1% - 33% of the time Feeling (Touch) -- determining temperature, texture, by touching: Occasional = 1% - 33% of the time Hearing: Constant = 67% - 100% of the time. Reaching -- above shoulder: Occasional = 1% - 33% of the time Reaching -- below shoulder: Occasional = 1% - 33% of the time Visual: Constant = 67% - 100% of the time. Color Vision: Not required Speaking: Frequent = 34% - 66% of the time Standing: Frequent = 34% - 66% of the time Balancing: Not required Walking: Frequent = 34% - 66% of the time Crawling: Not required Running - in response to an emergency: Not required Lifting up to 25 lbs.: Occasional = 1% - 33% of the time Lifting 25 to 60 lbs.: Not required Lifting over 60 lbs.: Not required Handling -- seizing, holding, grasping: Not required Carrying: Occasional = 1% - 33% of the time Climbing: Not required Kneeling: Not required Squatting: Not required Tasting: Not required Smelling: Not required Driving -- Utility vehicles such as golf carts, Gators, ATV, riding lawnmowers, skid steer, aerial lift: Not required Driving -- Class C vehicles: Not required Driving -- CDL class vehicles: Not required N95 Respirator usage (PPE): Occasional = 1% - 33% of the time Hazmat suit usage (PPE): Not required Pushing/Pulling -- up to 25 lbs.: Occasional = 1% - 33% of the time Pushing/Pulling -- 25 to 60 lbs.: Not required Pushing/Pulling -- over 60 lbs. : Not required

Job DescriptionBenefits: Competitive salary Flexible schedule in Drive, Cumming, Georgia, 30041 Shift Type 8hr Eve Guaranteed Hours (Weekly) 40hrs Pay Rate:-$50-$54/hr on W2 No local candidates within 50 miles. Schedule 330p-12a 8 weeks 748F BHS Hospital Based - Social Worker Min of 2 years of experience within specialty - Hospital Based experience. Required: BLS & MUST be GA Licensed LCSW, will not accept other state LCSW licenses

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.