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Job description
Job Title: Social Worker 2
Requisition ID: 65433
Client: Tennessee Department of Health (TN DOH)
Department: TDOH-CHS-SERO
Work Location: Hybrid 1301 Riverfront Parkway, Suite 209 Chattanooga, TN 37402
Contract Duration: April 6, 2026 - June 30, 2026
Work Schedule:
Monday - Friday
8:00 AM - 4:30 PM (EST)
7.5 hours per day
Expenses: Allowed
Job Overview
The Social Worker 2 will be part of the Clinical Care Team , supporting primary care providers and patients by addressing social determinants of health (SDOH) such as housing, food insecurity, transportation, and access to healthcare resources.
The role involves coordinating care, connecting patients to community resources, assisting with referrals, and supporting case management activities to improve patient outcomes.
Key Responsibilities
Social Determinants of Health Support
Provide social needs screening and assessments for patients referred by providers or nurses
Assist patients with accessing community resources such as housing, food, clothing, and mental health services
Compile and maintain a resource directory including eligibility requirements, referral processes, and contact information
Collaborate with healthcare providers, nurses, and other social workers to identify appropriate resources
Case Management
Assist hospitals with discharge planning and follow-up care coordination
Help obtain patient medical records from hospitals and specialists
Assist patients in securing necessary medical equipment through community partners
Follow up on care plans and patient treatment needs
Identify patients who are overdue for care or lost to follow-up and assist them in reconnecting with services
Referral and Care Coordination
Assist with specialty referral coordination, including scheduling and tracking imaging or specialist appointments
Maintain referral resource lists including eligibility criteria, costs, and contact details
Support patients in accessing low-cost prescription options and patient assistance programs
Assist with applications for programs such as CoverRx and RxOutreach
Documentation and Patient Support
Document patient interactions and updates in medical records
Provide patient education and direct patients to appropriate educational resources
Tag providers and clinical staff in patient records when follow-up is required
Additional Responsibilities
Complete onboarding and orientation requirements
Participate in regional office and clinical meetings as requested
Attend provider meetings and community health council meetings
Build relationships with community service agencies
Identify barriers to care and work with teams to develop solutions
Tools & Equipment
Personal computer
Telephone
Fax machine
Printer, scanner, and copier
Calculator
Personal vehicle for community coordination activities
Worksite address
chattanooga, TN, 37450, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.