Job Title: Social Worker 2
Location: Maryville, TN 37801
Duration: 48 weeks (August 3, 2026 – June 30, 2027)
Shift: M-F, 8A – 4:30P

Job Responsibilities:

• Conduct social needs screenings and assessments for patients referred by primary care providers.
• Assist patients with social determinants of health (SDOH), including housing, food insecurity, transportation, clothing, and access to community resources.
• Develop and maintain community resource directories with eligibility requirements and referral information.
• Collaborate with physicians, nurses, social workers, and community organizations to coordinate patient care.
• Perform case management, including discharge planning, follow-up care, and patient education.
• Obtain medical records from hospitals, specialists, and imaging centers.
• Assist patients in obtaining durable medical equipment through community resources.
• Identify and reconnect patients who are overdue for care or lost to follow-up.
• Coordinate specialty referrals and track appointments as needed.
• Help patients access affordable prescription medications through assistance programs, CoverRx, RxOutreach, and similar resources.
• Complete patient assistance applications and act as liaison with pharmaceutical assistance programs.
• Document patient interactions, assessments, referrals, and care plans in the electronic medical record.
• Provide patient education and connect patients with appropriate educational resources.
• Attend orientation, provider meetings, clinical meetings, Health Council meetings, and community outreach events.
• Identify barriers to healthcare access and recommend solutions to improve patient outcomes.

Requirements:

• Experience in social work, case management, or care coordination.
• Knowledge of Social Determinants of Health (SDOH) and community resource navigation.
• Experience with discharge planning and care coordination.
• Strong communication, documentation, and organizational skills.
• Ability to collaborate with interdisciplinary healthcare teams.
• Proficiency using computers and standard office equipment.
• Valid driver’s license and reliable personal vehicle for community visits (personal vehicle listed as required equipment).

Preferences:

• Experience working in a primary care or community health setting.
• Familiarity with patient assistance programs and low-cost prescription resources.
• Experience coordinating specialty referrals and community-based services.
• Knowledge of electronic medical records (EMR/EHR) documentation.