Social Worker - Care ManagerRequired skills & experience:Master's Degree in Social Work, behavioral sciences or another related fieldCurrently licensed as a LCSW or LMSW in the State of NJ2+ years previous experience working in care management and/or with chronic illness within a medical environment i.e. home health, dialysis, hospiceAbility to take call remotely on some nights and weekendsSelf-starter with the ability to work independently with minimal supervisionWhat you need to know:Opportunity to work in a dynamic, fast paced and innovative care management company that is transforming the delivery of kidney careCompetitive compensation package including salaryFlexible paid leave and vacation policyThis position will cover a one-hour travel radiusLooking for someone who works well with ambiguity, drive time, tele-health componentsThis person has to want to work for a start upAdditional job details:This position will cover a one-hour travel radiusRare domestic travel may be required to Nashville, TNSelf-starter with the ability to work independently with minimal supervisionAbility to show empathy and quickly build relationships with patients and local CBOsAbility to occasionally visit patients or take call remotely on some nights and weekendsExcellent verbal communication skills both in person and on the phoneBe able to work with Microsoft Office and mobile phone and web-based applicationsPerform in-home care management visits to assess and impact social and behavioral statusWork closely with Care Team to ensure continual progress on all care management goalsAssess social determinants of health needs and develop a plan for addressing themPerform behavioral, environmental and social support assessments and surveys as neededDeliver 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 recommendationsServe as the point of contact for patient questions regarding social and behavioralFacilitate conversations around and consideration of proactive care decisions, especially relating to transplantation, home modalities and AV fistula placementInitiate patient relationships through enrollment and onboarding processesReview and document patient updates and progress in care management platformIdentify, vet and build relationships with local Community-Based OrganizationsIntroduce patients to appropriate resources and act as the patient advocateServe as subject matter expert on social determinants for other members of the Care TeamThe work schedule is Monday Friday 8am 5pm. However, there could be exceptions where a patient does request a visit after 5pm.Benefits:Full Benefits (Medical, Dental, & Vision)401K PlanPTO, Sick DaysCompetitive CompensationLaptop, Phone Allowance (if applicable details will be listed on job)Internal Growth Opportunities