Job Duties:
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.
o Compile and maintain a resource list for SDOH resources including eligibility criteria, referral process, and contact information
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
Fabricator needed for Aerospace & Defense Manufacturing Company in the Gardena, Ca area (we are a sheet metal forming house that manufactures Aircraft Parts since 1975) REQUIREMENTS : Past position in manufacturing fabrication for aerospace. Reading blue...
...Training Manager Location: San Diego, CA Pay: $35.55/hr Travel: 90% travel Blackstone Consulting, Inc. (BCI) is a minority-owned, 9,000 employee, global service provider overseeing account services in food, environmental, facility maintenance, professional...
...Description: Ischemic stroke, Subarachnoid hemorrhage, Intracranial hemorrhage, subdural hematoma, Post OP Neuro Surgery, Status epilepticus, Encephalitis, Guillain-Barr syndrome, Brain tumors, Myasthenia gravis, Meningitis, and other CNS infections. ACLS,...
...from seasoned leaders with experience in working in schools and school management, founding... ..., MA, with flexibility to work from home up to three days a week based on schedule... ...dramatically improve public education for all students. District Management Group provides...
...Are you a passionate social worker seeking a fulfilling career in geriatrics? Our team at Unicity Senior Advisors is looking for compassionate... ...to implement plan of care Collaborate with hospital, nursing home and AL/memory care staff, physicians and other professionals...