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Social Worker – Clinical Care Team

Careers Integrated Resources Inc Selmer, TN (Onsite) Contractor
Job Title: Social Worker – Clinical Care Team
Location: Selmer, TN 38375
Duration: 7 Months+ (Possibilities of Extension)
 
Education: Bachelor’s Degree in Social Work – Required
 
Job Duties:
1. Social Support & Navigation:
  • Conduct social needs screening/assessment for primary care patients.
  • Address social determinants of health (SDOH) such as food, housing, and transportation insecurity.
  • Maintain a resource list of SDOH services with eligibility, referral process, and contact information.
  • Collaborate with primary care nurses, providers, and other social workers to coordinate resources.
2. Case Management:
  • Work with hospitals for discharge planning, follow-up, and patient education.
  • Assist with obtaining patient medical records and securing needed medical equipment.
  • Conduct follow-ups on care plans.
  • Identify patients lost to follow-up or overdue for care and assist them in returning to care.
3. Specialty Referral Navigation (as needed):
  • Schedule, coordinate, and track specialist and imaging referrals.
  • Maintain resource lists for specialty referrals including eligibility, costs, and contacts.
  • Assist with obtaining patient records from specialists and imaging centers.
4. Prescription Assistance:
  • Help patients access low-cost prescription options such as patient assistance programs or discount retailers.
  • Assist with program applications (e.g., CoverRx, RxOutreach) and act as liaison with drug companies.
5. Documentation & Patient Education:
  • Document patient interactions, updates, and consults in the patient record.
  • Provide patient education or identify appropriate education resources.
6. Community & Office Engagement:
  • Participate in onboarding, orientation, regional office, and clinical meetings.
  • Attend provider meetings, Health Councils, and community meetings to build relationships and promote health department services.
  • Identify barriers to care and work toward solutions.
 
Tools & Equipment:
  • Personal computer, telephone, fax machine, printer, scanner, copier, calculator, personal vehicle, and other office-related equipment.
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Job Snapshot

Employee Type

Contractor

Location

Selmer, TN (Onsite)

Job Type

Health Care

Experience

Not Specified

Date Posted

10/31/2025

Job ID

25-64691

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