Social Worker

Overview

• Join a dynamic team as a Social Worker in Savannah, GA, focusing on community health and patient advocacy.
• Work within an interdisciplinary care integration team to address barriers to health and increase access to care.
• Engage patients proactively, serving as a link between them, their community, and healthcare providers.
• Implement targeted interventions to support patients' health goals and self-management.
• Conduct outreach activities, including home visits, to identify healthcare needs and barriers.
• Provide culturally appropriate health education and advocate for patient needs.
• Coordinate care across health and social service systems, ensuring seamless communication.
• Empower patients to engage with community resources and build supportive relationships.

Key Responsibilities & Duties

• Assess community health needs and identify priority areas for intervention.
• Conduct health screenings and coordinate with healthcare providers for further evaluation.
• Facilitate communication between patients, healthcare providers, and social service agencies.
• Advocate for patients to access necessary healthcare services and address barriers.
• Provide emotional support and coaching to individuals navigating complex health situations.
• Document patient encounters in medical record systems accurately and timely.
• Participate in interdisciplinary team rounds and care planning for high-risk members.
• Assist patients with transportation, food insecurity, and benefits applications.

Job Requirements

• Associate of Science (AS) degree required; Bachelor’s degree preferred.
• Minimum of 2 years of experience in human services and community-based resources.
• Community Health Worker certification preferred but not required.
• Bilingual in English and Spanish or Creole with proficient communication skills.
• Experience working with seniors and conducting home visits.
• Strong organizational, interpersonal, and communication skills.
• Valid driver’s license, reliable transportation, and insurance coverage.
• Ability to work on-site and travel locally for patient visits.