Resumption of Care - Patient Support Specialist At TeleMate Health, we are dedicated to transforming healthcare delivery through innovative solutions. Our mission is to provide a level of monitoring and clinical intervention that fills healthcare gaps and promotes patient well-being. We deliver individualized, holistic care while connecting in a way that’s effective and meaningful for each patient. Position Overview As a TeleMate Health Social Worker, you will play a vital role in supporting patients’ overall health and wellness through resource coordination, education, and advocacy. Working closely with the care team, you’ll help patients overcome barriers to care, promote engagement, and improve quality of life. This position offers work-life balance, and the opportunity to make a meaningful impact on patients’ lives from the comfort of your home.

Key Responsibilities

Conduct basic psychosocial assessments to identify patients’ needs, challenges, and available supports. Collaborate with the care team to create individualized plans addressing social and environmental factors that impact health. Connect patients with appropriate community resources, benefit programs, and support services. Provide education to patients and caregivers on navigating healthcare systems and available resources. Serve as a patient advocate, ensuring care aligns with the patient’s goals and preferences. Communicate with healthcare providers and agencies to promote coordination of care. Accurately document all interactions and interventions in the electronic health record (EHR). Monitor patient progress and follow up to ensure needs are met. Identify and escalate urgent psychosocial or behavioral health concerns to appropriate team members. Qualifications and Skills Current, active professional licensure in one of the following (or similar): Licensed Professional Nurse (LPN) Registered Nurse (RN) Must resided in one of the following states: Alabama Georgia Kentucky Mississippi Pennsylvania Tennessee Minimum of two years of experience working with geriatric behavioral health, chronic disease management, or older adult populations preferred. Strong understanding of behavioral health conditions, community resources, and social determinants of health. Excellent communication, assessment, and organizational skills. Ability to work independently while collaborating effectively within a multidisciplinary team. Comfortable creating new workflows and implementing process improvements. Experience with electronic health records (EHR) and telehealth platforms preferred. High-speed internet connection and a private, HIPAA-compliant workspace. Fluency in English required; additional languages are a plus. Must reside in the United States and be legally authorized to work for any employer. Must successfully pass a background check.

What We Offer

Fully remote work environment Opportunity to help build and shape a growing behavioral health program Collaborative, mission-driven team focused on improving patient outcomes Medical, dental, and vision coverage available through BCBS (TeleMate Health pays 50% of the employee medical insurance premium for eligible full-time employees) Paid time off and company holidays for eligible employees Opportunities for professional growth and leadership as the department expands