Care Manager Social Worker - Loganville, GA

Job Category: Clinical

Requisition Number: CAREM
005781

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• Posted :
  January 20, 2026
• Full-Time
• Hybrid

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Monogram 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.

The 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 patient’s 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 don’t 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.

• Perform in-home and telehealthcare management visits to assess and determine social and behavioral status
• Work closely with Care Team to ensure collaboration and optimal patient outcomes
• Assess social determinants of health needs and develop a plan for addressing them
• Identify, vet, and build relationships with local Community-Based Organizations
• Educate patients on appropriate resources, assist with referral completion, and follow up for closure outcomes
• Serve as subject matter expert on social determinants for other members of the Care Team
• Complete behavioral, environmental, and social support assessments
• Deliver individual, family and group education on living with chronic illness
• Engage family and social support groups in the education and care of patients
• Assess patients and refer to behavioral health specialists if diagnosis and treatment needed
• Help patients to understand, accept and follow medical and lifestyle recommendations
• Review and document patient updates and progress in care management platform

• This position involves telephonic visits with some car travel to patients’ homes
• Basic 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 state
• Master’s degree in social work and passed ASWB masters or clinical exam
• Rare domestic travel may be required to Brentwood, TN
• Self-starter with the ability to work independently with minimal supervision
• Ability to show empathy and quickly build relationships with patients and local CBOs
• Preferred 2+ years previous experience working in care management and/or with chronic illness
• Excellent verbal communication skills both in person and on the phone

Familiarity with Microsoft Office and mobile phone and web-based applications

• Comprehensive Benefits-Medical, dental, and vision insurance, employeeassistanceprogram, employer-paid and voluntary life insurance,disability insurance, plus health and flexible spending accounts
• Financial & Retirement Support– Competitive compensation,401k with employer match, and financial wellness resources
• Time Off & Leave– Paid holidays, flexible vacation time/PSSL, and paidparentalleave
• Wellness & Growth–Worklifeassistanceresources,physical wellnessperks, mental health support,employee referralprogram,andBenefit
  
  Hubforemployee discounts

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, butall ofthe chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure,…