Bilingual Care Manager - Social Worker
Company: Monogram Health Inc
Location: Yuma
Posted on: June 3, 2025
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Job Description:
Job Description: Care Manager, Social WorkerMonogram Health is
looking for skilled Social Worker eager for the opportunity to make
a difference in patients' lives. The Care Manager Social Worker is
a key member of an integrated Care Team which includes a Nurse Care
Manager and an Advanced Practice Provider. The patients we serve
often struggle with multiple serious diseases and behavioral health
challenges. Social workers can remove the many economic and
behavioral barriers to patients, enabling positive health
outcomes.Your ImpactThe care team works with patients face-to-face,
over the phone, and through telehealth to identify and address
social determinants of health. The goal is to build a patients
social support network, navigate behavioral challenges, and
generally help patients through a traumatic diagnosis and
life-changing disease. Your gifts as a healthcare professional are
urgently needed. In healthcare systems, the patient has too often
become secondary due to processes and incentives that dont
positively impact the patient for the long term. Here at Monogram,
we strive to change that narrative by putting our patients and
their quality of life at the forefront of what we do.Highlights &
BenefitsThe ability to work directly with patients and build
meaningful relationshipsFull benefits package including medical,
dental, vision, life insurance, 401(k) plan with matching
contributions, paid vacation and holiday timeRoles and
ResponsibilitiesPerform in-home and telehealth care management
visits to assess and determine social and behavioral statusWork
closely with Care Team to ensure collaboration and optimal patient
outcomesAssess social determinants of health needs and develop a
plan for addressing themIdentify, vet, and build relationships with
local Community-Based OrganizationsEducate patients on appropriate
resources, assist with referral completion, and follow up for
closure outcomesServe as subject matter expert on social
determinants for other members of the Care TeamComplete behavioral,
environmental, and social support assessmentsDeliver individual,
family and group education on living with chronic illnessEngage
family and social support groups in the education and care of
patientsAssess patients and refer to behavioral health specialists
if diagnosis and treatment neededHelp patients to understand,
accept and follow medical and lifestyle recommendationsReview and
document patient updates and progress in care management
platformPosition RequirementsThis position involves telephonic
visits with some car travel to patients homesBilingual
(English/Spanish) requiredBasic Life Support (BLS) certification is
required in this role. The company will support your certification
completion through onboarding.Currently licensed as a LCSW or LMSW
in the posted stateMasters degree in social work and passed ASWB
masters or clinical examRare domestic travel may be required to
Brentwood, TNSelf-starter with the ability to work independently
with minimal supervisionAbility to show empathy and quickly build
relationships with patients and local CBOsPreferred 2+ years
previous experience working in care management and/or with chronic
illnessExcellent verbal communication skills both in person and on
the phoneFamiliarity with Microsoft Office and mobile phone and
web-based applicationsAbout Monogram HealthMonogram Health is a
value-based chronic condition organization serving patients with
chronic kidney and end-stage renal disease and their related
metabolic disorders. Monogram seeks to transform the way
nephrology, primary care and chronic condition treatment is
delivered. Monograms in-home approach utilizes a national
nephrology practice supported by case and disease management,
utilization management and review, and medication therapy
management services that improve health outcomes while lowering
medical costs. By increasing access to evidence-based care pathways
and addressing social determinants of health, Monogram has emerged
as an industry leader in championing health equity and improving
health outcomes for individuals with chronic kidney and end-stage
renal disease.At Monogram Health we believe in fostering an
inclusive environment in which employees feel encouraged to share
their unique perspectives, leverage their strengths, and act
authentically. We know that diverse teams are strong teams, and
welcome those from all backgrounds and varying experiences.Equal
Opportunity EmployerThis employer is required to notify all
applicants of their rights pursuant to federal employment laws. For
further information, please review the Know Your Rights notice from
the Department of Labor.by Jobble
Keywords: Monogram Health Inc, Calexico , Bilingual Care Manager - Social Worker, Other , Yuma, California
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