Care Manager - Social Worker

Monogram Health; Nashville (TN); Remote; USD 55,000 - 75,000; Full time

Job summary

A leading healthcare company is seeking a Care Manager - Social Worker to join their integrated Care Team. This role involves working closely with patients facing chronic illnesses, addressing social determinants of health, and providing support through telehealth and in-person visits. The ideal candidate will have a Master's degree in social work, relevant licensure, and the ability to build strong relationships with patients and community organizations. Comprehensive benefits and the opportunity for remote work are included.

Benefits

Comprehensive benefits including medical, dental, vision, life insurance

401(k) with match

Paid time off

Qualifications

• 2+ years in care management or chronic illness experience preferred.
• Current licensure as LCSW or LMSW in Tennessee.

Responsibilities

• Conduct in-home and telehealth management visits.
• Collaborate with Care Team for optimal outcomes.
• Educate and assist patients with resources and referrals.

Skills

Empathy

Communication

Education

Master’s degree in social work

Tools

Microsoft Office

Job description

Join to apply for the Care Manager - Social Worker role at Monogram Health

5 days ago Be among the first 25 applicants

Description

Job Description: Monogram Health is looking for a skilled Social Worker eager to make a difference in patients' lives. The Care Manager Social Worker is a key member of an integrated Care Team, including a Nurse Care Manager and an Advanced Practice Provider. Patients often face multiple serious diseases and behavioral health challenges. Social workers help remove economic and behavioral barriers to improve health outcomes.

Your Impact

The care team interacts with patients face-to-face, via phone, and through telehealth to identify and address social determinants of health. The goal is to build social support networks, navigate behavioral challenges, and assist patients through traumatic diagnoses and life-changing diseases. We aim to prioritize patient well-being over systemic processes that often overlook long-term benefits.

Highlights & Benefits

• Remote work with occasional local travel
• Opportunity to build meaningful relationships with patients
• Comprehensive benefits including medical, dental, vision, life insurance, 401(k) with match, paid time off

Roles and Responsibilities

• Conduct in-home and telehealth management visits to assess social and behavioral status
• Collaborate with Care Team for optimal outcomes
• Assess social determinants of health and develop intervention plans
• Build relationships with local Community-Based Organizations
• Educate and assist patients with resources and referrals, ensuring follow-up
• Serve as a social determinants expert within the Care Team
• Perform behavioral, environmental, and social support assessments
• Provide education on living with chronic illness to individuals, families, and groups
• Engage family and social support networks in patient care
• Refer patients to behavioral health specialists as needed
• Support patients in understanding and following medical and lifestyle recommendations
• Document patient progress in care management platform

Position Requirements

• Telephonic visits with some travel to patients’ homes
• Basic Life Support (BLS) certification (company supports certification process)
• Current licensure as LCSW or LMSW in the posted state
• Master’s degree in social work and passing of ASWB exam
• Possible minimal travel to Brentwood, TN
• Self-motivated with ability to work independently
• Empathy and ability to build quick relationships with patients and community organizations
• Preferred: 2+ years in care management or with chronic illness experience
• Excellent verbal communication skills
• Familiarity with Microsoft Office, mobile, and web applications

About Monogram Health

Monogram Health specializes in value-based care for patients with chronic kidney and end-stage renal disease, aiming to transform treatment delivery through in-home care, addressing social determinants, and promoting health equity.

We foster an inclusive environment where diverse perspectives are valued and encouraged.