Social Worker- Pilot CCM

ROM Technologies, Inc.; Brookfield (CT); On-site; USD 51,000 - 73,000; Full time

Job summary

ROMTech in Brookfield, CT seeks a Contract Social Worker to support the Chronic Care Management program, providing psychosocial assessments, care coordination, and resource navigation for patients with chronic and complex conditions. This role requires a Florida Social Work License and focuses on improving outcomes, adherence, and reducing barriers to care.

The position involves interdisciplinary collaboration, HIPAA compliance, and CMS CCM guideline alignment, with day shifts and a strong

Qualifications

• Bachelor’s or Master’s degree in Social Work (MSW strongly preferred).
• Active Florida Social Work License required for practice.
• 2–3 years of care management, medical social work, or chronic disease management experience.
• Experience with Medicare and high-risk populations is a plus.

Responsibilities

• Conduct psychosocial assessments to identify patient needs and barriers.
• Coordinate care plans with interdisciplinary teams to support CCM goals.
• Provide short-term counseling and emotional support for chronic conditions.
• Facilitate access to community resources (housing, transportation, food, behavioral health, financial services).
• Educate and follow up to support adherence to care plans and medications.
• Assist with care transitions and post-discharge coordination.
• Maintain compliant documentation in EHR/ CCM platforms.
• Participate in case discussions to optimize patient outcomes.
• Ensure activities align with HIPAA and CMS CCM guidelines.

Skills

social determinants of health

care coordination

communication skills

interpersonal skills

independent work

caseload management

documentation skills

navigate resources

telehealth familiarity

EHR proficiency

bilingual (English/Spanish)

Education

MSW strongly preferred

Bachelor's or Master’s in Social Work

Tools

EHR systems

Telehealth platforms

Job description

Job Details

Job Location: Brookfield, CT 06804

Salary Range: $45.00 - $45.00 Hourly

Job Shift: Day

ROMTech is a medical technology company that has created and patented a revolutionary medical device and telemedical platform which delivers in-home rehabilitative care. Our disruptive technology has proven to yield faster recoveries and better outcomes with unmatched patient compliance. We began in orthopedics and have entered scale-up of our orthopedic business. We are now leveraging our core technology, infrastructure, and first mover position to enter cardiology, followed by other adjacent markets. Having created this new lane, we have a unique opportunity to serve as the global leader in the business, technology, and science of recovery, and to bring life-changing help to many millions of people.

Job Purpose

The Contract Social Worker supports the Chronic Care Management (CCM) program by providing psychosocial assessments, care coordination, and resource navigation for patients with chronic and complex conditions. This role contributes to improved patient outcomes, adherence to care plans, and reduced barriers to care by addressing social determinants of health and connecting patients with appropriate services. The position supports interdisciplinary collaboration and ensures alignment with CMS CCM guidelines and organizational care delivery objectives. This position is based out of Florida. An Active Florida Social Work License is required.

Key Responsibilities

Essential Duties

• Conduct psychosocial assessments to identify patient needs, barriers to care, and social determinants of health
• Collaborate with interdisciplinary care teams to support development and execution of individualized care plans
• Provide short-term supportive counseling and emotional support to patients managing chronic conditions
• Identify and facilitate access to community-based resources including housing, transportation, food assistance, behavioral health, and financial services
• Support patient adherence to care plans and medication regimens through education and structured follow-up
• Assist with care transitions, including post-discharge coordination and patient support
• Maintain accurate, timely, and compliant documentation in EHR and CCM platforms
• Participate in case consultations or interdisciplinary discussions as needed to support patient outcomes
• Ensure all activities align with HIPAA and CMS Chronic Care Management guidelines

Other Functions

• Participate in program improvement initiatives or workflow optimization efforts as mutually agreed
• Support onboarding or knowledge-sharing activities related to CCM services if applicable
• Performs other mutually agreed upon duties consistent with the applicable engagement or contract

QualificationsJOB QUALIFICATIONS

Skills and Abilities

Required

• This position is based out of Florida. An Active Florida Social Work License is required.
• Strong understanding of social determinants of health and care coordination principles
• Excellent communication and interpersonal skills for patient engagement
• Ability to work independently and manage caseloads in a structured, outcome-focused manner
• Strong organizational and documentation skills
• Ability to navigate community-based resources effectively

Preferred

• Experience in chronic care management or population health programs
• Familiarity with telehealth platforms and EHR systems
• Bilingual (English/Spanish)

Work Experience Requirements

Required

• 2–3 years of experience in care management, medical social work, or chronic disease management

Preferred

• Experience working with Medicare or high-risk patient populations
• Background in behavioral health, geriatrics, or case management

Education Requirements

• Bachelor’s or Master’s degree in Social Work (MSW strongly preferred)

License and Certification Requirements

Required

• Active Florida Social Work License (externally required for practice — assumed)
• LCSW preferred

Physical Demands and Working Conditions

The following describes the physical demands and work environment characteristics required to perform the essential functions of this position. These requirements are representative of those an employee may encounter while performing the job and are not intended to be an exhaustive list. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the role.

• Ability to sit at a computer terminal for an extended period.
• Moderate noise (i.e., phone calls, online meetings, computer audio)
• While performing the duties of this job, the employee may be regularly required to stand, sit, talk, hear, reach, stoop, kneel, and use hands and fingers to operate a computer, telephone, and keyboard.
• Specific vision abilities required by this job include close vision requirements due to computer work.
• Regular, predictable attendance is required.
• Must be able to communicate clearly and professionally in both verbal and written formats.
• Must be able to engage in active listening and express ideas effectively in person, by phone, and via virtual meetings.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Reasonable accommodation requests must be made in writing by emailing [e-mail].