Bilingual Care Manager - Social Worker

Company: Monogram Health Inc
Location: Yuma
Posted on: June 3, 2025

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