Social Worker, Mental Health

Home Health Social Workers are neededfor a dynamic, fast-paced start-upwith an innovativecare management positionthat is transforming the delivery of kidney care. You will bedriving to patients' homeswho suffer from chronic kidney disease. We are looking for someone who works well withambiguity, drive time,and telehealthcomponents. Mostpatients are suffering fromchronic kidney disease (CKD) and end-stage renal disease (ESRD).

Requirements:

• WorkMondayto Friday 8:00 am to 5:00 pm andoccasionally after 5:00 pm
• You must be mission-driving and willing todeal with underserved populations
• Master's Degree in Social Work, behavioral sciences, or another related field
• Currently licensed as anLCSW or LMSW
• 2+ years of experienceworkingin care managementand/or with chronic illness2+ years of experienceworking in medical settings such ashome health, dialysis, or hospice
• Tele-health!Ability totake calls remotely on some nights and weekends
• Self-starter with theability to work independentlywith minimal supervision
• Mustshow empathyand quicklybuild relationships with patients and CBOs
• Excellentverbal communication skillsboth in person and on the phone
• Must be fully vaccinated
• Must be willing to travel to the patient's home
• Competitive compensation,of$65,000
• Flexible paid leave(PTO),sick days, and vacation policy
• Full Benefits(Medical, Dental, & Vision)
• 401K Plan
• Laptop & Phone Allowance(if applicable details will be discussed)

Job Description s:

• Lots of driving!This position will cover atwo-hour travel radius.
• Rare domestic travelmay be required toheadquarters in Nashville, TN
• Ability to occasionally visit patients or take calls remotely onsome nights and weekends
• Work withMicrosoft Officeandmobile phone and web-based applications
• Perform in-home care management visits to assess and impact their social and behavioral status
• Work closely with Care Teamto ensure continual progress on all care management goals
• Assess social determinantsof health needs and develop a plan for addressing them
• Perform behavioral, environmental, and social supportassessments and surveys
• Deliver individual, family, and group educationon living with chronic illness
• Engagefamily and social support groupsin the education and care of patients
• Assess patients andrefer them to behavioral health specialistsfor diagnosis and treatmentHelp patientsto understand accept and follow medical and lifestyle recommendations
• Serve as the point of contactfor patient questions regarding social and behavioral
• Facilitate conversationsaround and consideration of proactive care decisions, especially relating totransplantation, home modalities, and AV fistula placement
• Initiate patient relationships throughenrollment and onboardingprocesses
• Document patient updatesand progress in theEMR
• Identify, vet, and build relationshipswith local Community-Based Organizations
• Introduce patients to appropriate resources andact as the patient advocate
• Serve as subject matter experton social determinants for other members of the Care Team

Interview Process:

• Brief screening call with a talent advisor
• Phone Interview with HR
• Video Zoom interview the operations manager and leadership