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MH

Care Manager - Social Worker

Monogram Health·Toms River, New Jersey

$80,000 - $80,000/yr·Full Time·Hybrid·2-5 yrs·Posted 11 days ago
Practice for this role

About the role

The Care Manager Social Worker identifies and addresses social determinants of health to remove economic and behavioral barriers for patients with chronic illnesses. They collaborate with an integrated care team to provide in-home and telehealth assessments and build support networks for patients.

Job Description: Care manager, social worker

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.

Your impact

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.

  • Highlights & benefits
  • Hybrid opportunity with some occasional local travel
  • The ability to work directly with patients and build meaningful relationships
  • Full benefits package including medical, dental, vision, life insurance, 401(k) plan with matching contributions, paid vacation and holiday time
  • The base salary range for this role is $83,554 to $102,835 and reflects the range of experience and qualifications we may consider. Final compensation will be determined based on geographic location and job-related factors such as experience, skills, education, certifications, and internal compensation considerations. While the full range is posted, most offers will typically fall within a narrower band based on these factors. In addition to base salary, this role is eligible for additional compensation, including bonus opportunities and a comprehensive benefits package.
  • Roles and responsibilities
  • Perform in-home and telehealth care 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
  • Position requirements
  • 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

About monogram health

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, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.

Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.

Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.

Requirements

Candidates must hold a Master's degree in social work and be licensed as an LCSW or LMSW in the posted state. BLS certification is required, and previous experience in care management or chronic illness is preferred.

  • professional certificate
  • postgraduate degree
  • Case Management
  • Patient Advocacy
  • Patient Education
  • Crisis Intervention
  • Clinical Documentation
  • Interdisciplinary Collaboration
  • Telehealth
  • Social Work
  • Care Management
  • Social Determinants Of Health
  • Community Resource Navigation
  • Behavioral Health Assessment

Benefits

  • Dental Insurance
  • Life Insurance
  • Vision Insurance
  • Medical Insurance
  • Paid Vacation
  • Holiday Time
  • 401(k) Plan With Matching Contributions

Posting details

Employment type
Full Time
Work arrangement
Hybrid
Experience
2-5 yrs
Salary
$80,000 - $80,000/yr
Location
Toms River, New Jersey
Posted
Jul 16, 2026
Application
Employer website
MH

Hiring organization

Monogram Health

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, but all...

Salary listed on 57 jobs
IndustryHospitals and Health Care
TypePrivately Held
Size1,001-5,000 employees
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Market context

Behavioral health roles in New Jersey

Behavioral health positions in New Jersey often draw steady demand from providers serving children, families, and community-based programs. These roles can be competitive because employers commonly look for a master’s degree, a valid clinical license, bilingual communication skills, and child welfare experience. Review the AI-summarized requirements and benefits here to save time, and tailor your application to highlight licensure, language ability, and direct child welfare exposure.

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