In-Clinic Enrollment Specialist (LCSW/MSW) (Albuquerque, New Mexico)

Responsibilities

• Identify and engage eligible patients for APCM enrollment during in-office visits, leveraging Phamily's platform and eligibility data.
• Explain the purpose and benefits of care management, emphasizing continuity of care and partnership with their providers.
• Serve as the in-office liaison between Phamily's Care Management team and providers and clinical staff.
• Provide real-time updates to physicians and practice managers about patient enrollments, social needs identified, and care management follow-up activities.
• Conduct brief social needs screenings during patient encounters to identify barriers such as transportation, food insecurity, or housing instability.
• Provide resource referrals and warm handoffs to community organizations or Phamily care managers for complex cases.
• Track and report key metrics including number of patient interactions, enrollments completed, SDoH interventions, and provider engagement.

Requirements

• Education & Licensure:
• Master's Degree in Social Work (MSW) required.
• Active Licensed Clinical Social Worker (LCSW) or equivalent state licensure strongly preferred in Illinois.
• 3+ years in a healthcare, care management, or clinical social work setting.
• Experience working in primary care or value-based care environments preferred.
• Proven ability to communicate effectively with physicians, practice staff, and patients.
• Demonstrated success in patient engagement, motivational interviewing, and addressing SDoH needs.
• Skills & Competencies:
• Strong interpersonal and communication skills, with ability to build trust quickly.
• Comfort working in fast-paced, dynamic environments and adapting to evolving workflows.
• Proficiency with EHR systems (Epic, Athena, etc.) and care management platforms.
• Excellent organization and documentation habits.
• Empathetic, professional demeanor aligned with Phamily's mission of patient-centered care.
• Work Style & Logistics
• You are both a playbook builder and executor, able to design scalable approaches for today while anticipating what the business will need tomorrow, and then follow through to deliver results.
• Our culture is built on five principles that shape how we work, lead, and grow:
• Care: We put patients, clients, teammates, and outcomes first.
• Curiosity: We ask better questions, challenge assumptions, and keep learning.
• Clarity: We simplify complexity, communicate directly, and create alignment.
• Co-Creation: We collaborate across teams, perspectives, and disciplines.
• Craftsmanship: We execute with excellence, ownership, and continuous improvement.
• Our Compensation & Benefits
• Competitive compensation based on experience and impact $22.00-25.00/hour
• Comprehensive medical, dental, and vision coverage for employees and dependents at a low cost
• Generous Paid Time Off: up to 35 paid days off each year

Benefits

Additional Information

In-Clinic Enrollment Specialist (LCSW/MSW) Location: On-site at Medical Group practices in Albuquerque, NM, with some Remote documentation and coordination. Job Type: Full-Time About Jaan Health/Phamily Jaan Health is a leading AI-based care management company serving healthcare providers. For nearly a decade, the company has leveraged its easy-to-use, proprietary technology to enable health systems, medical groups, and ACOs to deliver high-quality, high-ROI proactive care to hundreds of thousands of previously underserved patients. Phamily, the company's core technology platform, has transformed chronic disease management with clinically tested AI and easy-to-use technology that enables physicians and care teams to offer high-touch, individualized patient care that has been proven to reduce investment in extra labor and the overall cost of care. Phamily helps ensure healthcare providers are compensated fairly for providing high-quality care between office visits, while improving the lives of patients with chronic diseases. Learn more at phamily.com. Job/Role Description The In-Clinic Enrollment Specialist serves as the on-site representative of Phamily's Advanced Primary Care Management (APCM) program within Medical Group practices. This role combines the clinical empathy and skill of a Licensed Clinical Social Worker (LCSW/MSW) with the operational purpose of patient engagement and enrollment . The specialist drives APCM enrollment in clinics, strengthens relationships between providers, patients, and care management, and ensures patients understand and benefit from ongoing care coordination services. This is a frontline, relationship-driven role essential to scaling Phamily's partnerships and embedding care management as a core component of every patient's healthcare journey.

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