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.
Compile and maintain a resource list for SDOH resources including eligibility criteria, referral process, and contact information.
Collaborate with primary care nurses and providers
Provide in-person or remote social needs screening/assessment with primary care patients referred by nurse or provider.
Coordinate or make aware of social services resources, i.e., housing, clothing, food, mental health services, etc.
Collaborate with other social workers to identify patient and community resources Conduct case management activities.
Work with hospitals for discharge planning, follow-up and education.
Assist with obtaining patient records from hospitals
Assist in securing needed medical equipment through community partners.
Conduct follow-up on care plans.
Identify patients lost to follow-up or overdue for care and assist them in returning to care
May assist with specialty referral navigation
Schedule, coordinate, and track non-BCS specialist and imaging referrals
Assist with obtaining patient records from specialists and imaging centers
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.
May assist with patient assistance program applications and serve as a patient-provider liaison with the drug companies.
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 patients record, updates consult, 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
About Us: Established in 2004, SPECTRAFORCE® is one of the largest and fastest-growing diversity-owned staffing firms in the US. The growth of our company is a direct result of our global client service delivery model that is powered by our state-of-the-art A.I. proprietary talent acquisition platform, robust ISO 9001:2015/ISO 27001 certified processes, and strong and passionate client engaged teams. We have built our business by providing talent and project-based solutions, including Contingent, Permanent, and Statement of Work (SOW) services to over 140 clients in the US, Canada, Puerto Rico, Costa Rica, and India. Key industries that we service include Technology, Financial Services, Life Sciences, Healthcare, Telecom, Retail, Utilities and Transportation. SPECTRAFORCE is built on a concept of “human connection,” defined by our branding attitude of NEWJOBPHORIA®, which is the excitement of bringing joy and freedom to the work lifestyle so our people and clients can reach their highest potential. Learn more at: http://www.spectraforce.com
Benefits: SPECTRAFORCE offers ACA compliant health benefits as well as dental, vision, accident, critical illness, voluntary life, and hospital indemnity insurances to eligible employees. Additional benefits offered to eligible employees include commuter benefits, 401K plan with matching, and a referral bonus program. SPECTRAFORCE provides unpaid leave as well as paid sick leave when required by law.
Equal Opportunity Employer: SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at LOA@spectraforce.com if you require reasonable accommodation. At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $23.48/hr.