Case Manager

The Clinical Care Team will take referrals from primary care providers and will work with the primary care team to accomplish the following tasks:

o Collaborate with primary care nurse and providers

o Provide in-person or remote social needs screening/assessment with primary care patients referred by nurse or provider

o Coordinate or make aware of social services resources, i.e., housing, clothing, food, mental health services, etc.

o Collaborate with other social workers to identify patient and community resources

• Conduct case management activities

o Work with hospitals for discharge planning, follow-up and education

o Assist with obtaining patient records from hospitals

o Assist in securing needed medical equipment through community partners

o Conduct follow-up on care plans

o Identify patients lost to follow-up or overdue for care and assist them in returning to care

• May assist with specialty referral navigation

o Schedule, coordinate, and track non-BCS specialist and imaging referrals

o Assist with obtaining patient records from specialists and imaging centers

o 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.

o May assist with patient assistance program applications and serve as a patient-provider liaison with the drug companies

o Assist patient with applications for programs such as CoverRx and RxOutreach

• May help with other regional primary care-based initiatives with a social work component

• Documents in patient//'s record, updates consults, and tags provider and/or clinical staff as necessary

• Provide patient education or find appropriate education resources

Expectations may include:

• • Complete onboarding and orientation
• • Participate in regional office and primary care clinical meetings as requested
• • Attend provider meetings as requested
• • Attend Health Councils and other community meetings to build relationships with social service agencies and promote health department services
• • Identify barriers to care or assistance experienced by our patients and seek ways to address them

Tools and Equipment:

• 1. Personal Computer
• 2. Telephone
• 3. Fax Machine
• 4. Printer
• 5. Scanner
• 6. Copy Machine
• 7. Calculator
• 8. Personal Vehicle

Other office related equipment as required