43 Social Worker jobs in Methuen Town

Carleton-Willard Village is a retirement community located in Bedford, MA. Services include supportive care, skilled nursing, rehabilitation, and memory care all in a village-type setting. Our 72 acre sanctuary of pristine woods, meadows, walking paths and gardens is just north of Boston.

Full-Time, Mon -Fri, 8am-4:30pm

Position Summary:

Works with residents, their families, and other Carleton-Willard team members to ensure the safety and care of seniors. Facilitates decision-making regarding moves within the Carleton-Willard Village continuum through meetings with Residents and family members.

Essential Duties and Responsibilities:

• Complete psychosocial assessments for residents to identify their mental, emotional, and social needs
• Meets with all new Residents to complete paperwork for medical record according to "Admissions to the Clinic" policy
• Provides individual and family counseling
• Supports Residents who no longer drive with guidance with arranging transportation
• Assists Residents in reviewing health insurance options during open enrollment periods
• Initiates and conducts support groups such as caregiver, bereavement, women/men groups
• Facilitates outside resources and services
• Coordinates companion program for Residents needing extra support at home
• Acts as a liaison with outside mental health practitioners
• Provides vocational assessment of Residents who are receiving Rehabilitation
• Documentation of progress notes and other social work entries to be recorded to permit and encourage regular and ongoing communication with physicians and other professionals involved in the resident's care and billing
• Initiates advance care planning discussions with Residents including goals of care
• Visits new Residents in their home within a eight weeks after moving in to assess adjustment/transition and invites new Residents to attend "It Takes A Village"
• Follows Residents with cognitive impairment to assist with monitoring of their status and needs
• Promote facility-community interaction by encouraging community involvement, developing community resources, and participating in the assessment of and the need for planning related to other long-term social and health care resources
• Committed to working with residents and families to develop and implement strategies that promote person-centered care
• Applies "5 Star" customer service approach in all aspects of job

Qualifications:

• Master's degree in social work with 5 years of clinical experience in individual and family counseling
• Current LCSW licensure in the Commonwealth of Massachusetts. LICSW licensure preferred
• Experience in gerontology required
• Proficient with Microsoft Office Products
• Experience with understanding of electronic medical records

Carleton-Willard Village is committed to providing equal opportunity for employment and advancement to all team members and potential team members. Carleton-Willard Village does not discriminate in employment on the basis of race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/ or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations.

PURPOSE AND SCOPE:

Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment, rehabilitation and improved quality of life for our patients. In collaboration with the interdisciplinary team, informs, educates and supports staff in understanding the emotional, psychological and behavioral impact of Chronic Kidney Disease on the patient and family to ensure comprehensive quality care of our patients. Supports the Fresenius Kidney Care (FKC) commitment to the Quality Indicators and Outcomes and Quality Assessment and Improvement (QAI) Activities, including those related to patient satisfaction and quality of life and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FKC Quality Goals. This is an entry level MSW role.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Patient Assessment / Care Planning / Counseling

• As a member of the interdisciplinary team, assesses patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment.

• Participates in care planning in collaboration with the patient and healthcare team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of life.

• Utilizes FKC patient education programs, established social work theory and methods, social work focused interventions, and quality of life measurement instruments as part of assessment and care planning to address barriers and meet patient treatment goals.

• Provides monitoring and interventions for the patient to adjust to dialysis and achieve optimal psychosocial status and quality of life.

• Provides supportive counseling services to patients as permitted within the scope of their clinical training and state license.

• Provides educational and goal directed counseling to patients who are seeking transplant.

• Provides information and assists the team and patient with referral to community resources (home health services, vocational rehabilitation, etc.) to facilitate optimal treatment outcomes.

• Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed, become employed or receive education.

• Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes, if necessary, with the healthcare team and the patient's family/support persons.

• In collaboration with the physician and nurse, participates in the discussion of patient DNR status in the facility to ensure patient and/or family understand and make an informed decision about their care.

• Knowledgeable of and adheres to FMCNA Social Work Policy and Measuring Patient Physical and Mental Function Policy, including documentation.

• Documents based on MSW interaction and interventions provided to patient and/or family.

• Quality

• Provides psychosocial support and/or Social Work Focused Interventions to address non-adherence, quality outcome, and quality of life concerns for all patients based on acuity level.

• Participates in monthly Quality review meetings with the interdisciplinary team. Reports on quality indicators related to adherence, such as Missed and Shortened Treatments, Quality of Life Trends, and Service Recovery.

• Patient Education

• Assesses patient knowledge of kidney disease for barriers that may affect adherence to treatment. Works with patient, family and health care team to provide education tailored to the patient's learning style, communication barriers, and needs.

• With other members of the interdisciplinary team, provides appropriate information about all treatment modalities.

• Facilitates the transplant referral process and collaborates with interdisciplinary team on transplant waitlist management.

• Provides ongoing education to patient/family regarding psychosocial issues related to End Stage Renal Disease (ESRD) and all support services that are available.

• Reviews patient rights and responsibilities, grievance information (company and network) and other facilities policies with patient and/or the patients' representative to ensure patients' understanding of the rights and expectations of them.

• Collaborates with the team on appropriate QAI activities.

• Patient Admission and Continuity of Care

• Reviews Patient Rights and Responsibilities, Grievance Procedure & Important Numbers Handout, FKC Non-discrimination policy, DNR Statement (if applicable) and address any immediate needs/concerns.

• Understands the referral and admission process and supports the clinic in regard to the patient needs for scheduling to maximize adherence and adjustment.

• The Social Worker will interview the patient to identify root causes or concerns for the discharge request, (i.e. transfer to hospice, relocation, dissatisfaction with services or staff) and share causes/concerns with operational leadership.

• Insurance and Financial Assistance

• Collaborates and functions as a liaison for patient with Insurance Coordinators to address issues related to insurance.

• In collaboration with Insurance Coordinators, provides information and education to patients about payment to dialysis (federal, state, commercial insurance, state renal programs, AKF HIPP, and entitlement programs).

• Collaborates with the Insurance Coordinator of any changes to patient state that impacts insurance i.e. transplantation, discharged, loss of coverage, or extended travel.

• Refers patients to patient billing solutions (PBS) department for questions/concerns in regard to treatment related bills

• Staff Related

• Assists with interview process and decision to hire new personnel if requested by SW Manager/Senior Manager.

• Works with the administrative support staff to maintain updated patient resource lists (e.g. maintain updated list of transportation resources).

• Provides training to staff pertaining to psychosocial topics as needed.

• Contributes and participates with weekly team huddles. Discusses any urgent patient issues with staff.

• Adheres to work defined caseload guidelines based on state regulatory requirements.

• Performs other related duties as assigned.

PHYSICAL DEMANDS AND WORKING CONDITIONS :

• The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Travel required (if multiple facilities or home visits, if applicable)

SUPERVISION:

• None

EDUCATION AND REQUIRED CREDENTIALS :

• Masters in Social Work

• Must have state required license

• Meets the applicable scope of practice board and licensure requirements in effect in the State in which they are employed

EXPERIENCE AND SKILLS :

• 0 - 2 years' related experience

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

**Description**
**Introduction**
Do you want to join an organization that invests in you as a(an) Social Worker PHP PRN? At Parkland Medical Center, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
**Benefits**
Parkland Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits ( Eligibility for benefits may vary by location._**
You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Social Worker PHP PRN like you to be a part of our team.
**Job Summary and Qualifications**
**This Position is Located in Concord, NH**
**Position Summary:** Plans, organizes, directs, defines and coordinates clinical services necessary to meet the legal, organizational, medical staff and regulatory agencies guidelines. Provide case management, education, group and individual therapy, and discharge planning. Performs community and educational activities.
Essential Functions:
+ Conducts individual, group and family sessions for patients as indicated patient treatment plan.
+ Facilitate identified support groups to meet the needs of patients/families as indicated by medical record.
+ Participates as a member of the interdisciplinary treatment team.
+ Participates in the QA process as evidenced by audits and attendance records.
+ Participates in development of master treatment plans and updates.
+ Attends patient treatment planning meetings and reviews on an ongoing basis.
+ Active participation in the planning and execution of treatment regimes.
+ Completes a psychosocial assessment within for each patient within designated time frame
+ Participates in discharge planning and aftercare planning.
+ Makes necessary contacts with community resources to ensure continuity of care.
+ Plans and arranges admission to special care facilities as indicated by physician's request/needs.
+ Assures completion of continuing plan of care, and facilitates transmission of same to next level of care.
+ Documents according to policies and procedures.
+ Assures completion of patient outcomes on admission and discharge.
+ Assures contact with family members when families are available.
+ Documents all clinical sessions held with patient/family members.
+ Performs other duties and special projects as required and or assigned by Program Director.
+ Assist with referral development and community education activities
+ Promotes internal and external customer satisfaction.
+ Builds and promotes a culture of service excellence and continuous improvement.
+ Attendance: works as scheduled and is compliant with Attendance and Tardiness Policy.
**Qualifications and Experience:**
+ Required: Master's degree in Social Work or Clinical Mental Health Counseling from an accredited school; CPI Nonviolent Crisis Intervention within 30 days of hire
+ Preferred: LCISW, Two - four years in social services or case management; American Heart Association BCLS; experience with psychiatric patients a plus
+ Thorough understanding of psychopathology, family dynamics, and milieu dynamics.
+ Ability to implement multiple therapeutic techniques to meet patient goals and facilitate recovery process.
+ A firm background in social service practice, patient aftercare and discharge planning.
Located in Derry, NH, Parkland Medical Center ( is a regional acute-care hospital offering 86 beds and a Level III Trauma Center. HCA Healthcare owns the facility, along with three other hospitals, two freestanding emergency rooms, an ambulatory surgery center, and an urgent care center in New Hampshire. The organization employs 2,600 colleagues and 554 physicians, provides $5.8 million in uncompensated care, and pays 43.8 million in taxes annually. HCA Healthcare's other New Hampshire hospitals include Portsmouth Regional Hospital and Frisbie Memorial Hospital in Rochester, as well as freestanding emergency rooms in Seabrook and Dover. In 2023, a third freestanding emergency room will open in Plaistow.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $ .7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Social Worker PHP PRN opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Overview
The Social Worker at Hampstead Hospital provides therapeutic and case management services to patients and their families. This position collaborates closely with aftercare providers and other stakeholders to ensure a seamless continuum of care. The role conducts individual, family, and group therapy as needed, actively participates in treatment planning, and develops psychosocial formulations while coordinating with internal and external stakeholders to ensure a smooth patient transition planning.
Responsibilities
* Provides direct and indirect social work services to patients and their families, including group and individual counseling, case management, psychosocial assessments, aftercare planning, and facilitating family meetings.
* Coordinates discharge planning and continuing care plans in accordance with treatment team recommendations, policies, and standards.
* Provides clinical consultations to other treatment team members and plays a key role in training multidisciplinary staff. This includes educating them on program policies and procedures and evidence-based interventions for the population served.
* Develops and maintains professional relationships with other community healthcare providers . Provides consultation to collateral outpatient providers, residential programs, and schools.
* Perform level-of-care assessments and related pre-certification reviews with insurance companies.
* If assigned to the Admissions Department, will complete level-of-care assessments, and assist with triage tasks to include conducting phone intakes, facilitating all aspects of the referral process, and collaborating with medical staff and program directors regarding potential admissions.
* Completes and reviews documentation in accordance with all Joint Commission and Medicare standards applicable to Social Work. LICSWs may provide direct clinical supervision and mentoring to less experienced social workers.
* Promotes the hospital's culture of patient safety in a non-punitive atmosphere; reports medical errors and significant events; participates in hospital safety training programs and Performance Improvement activities.
Qualifications
* Bachelor's degree from a recognized college or university with major study in social work, psychology, education, human services, sociology, cultural anthropology, or behavioral science.
* OR
* Bachelor's degree in any subject field with at least twenty-four (24) credit hours in social work, psychology, education, human services, sociology, cultural anthropology, or behavioral science.
* Three years' experience as a Social Worker or one year as a Social Worker Trainee and two years as a Social Worker I.
* Preferred Qualifications:
* Preferred related field work experience and/or previous experience with patients/families in a psychiatric setting and candidates who have been aligned with NH’s System of Care, supporting services that are: family-driven, youth-guided, community-oriented, trauma-informed, and culturally and linguistically competent.
Required Licensure/Certifications
- Licensed in Social Work or license eligible in New Hampshire.
- CPI Certification (within 3 months of hire)
- BLS Certification (within 30 days of hire)
- License eligible clinicians are required to pursue LICSW licensure.
* Area of Interest:Allied Health
* Pay Range:$25.82/Hr. - $40.03/Hr.
* FTE/Hours per pay period:.01 hrs/per week (per diem/temp)
* Shift:Day
* Job ID:31343
Dartmouth Health offers a total compensation package that includes a comprehensive selection of benefits. Our Core Benefits include medical, dental, vision and life insurance, short and long term disability, paid time off, and retirement plans. Click here for information on these benefits and more:Benefits | DHMC and Clinics Careers
Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
Dartmouth Hitchcock Medical Center and Dartmouth Hitchcock Clinics comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We do not exclude or treat people differently because of race, color, national origin, age, disability, or sex.

Position Summary/Department Summary:

Full time social work position (40 hrs.) needed to provide a range of clinical social work services to children, adolescents, and young adults in the Center for Skeletal Health. The Skeletal Health Program is a multidisciplinary clinic dedicated to improving the health and wellbeing of patients diagnosed with various skeletal conditions. The Center for Skeletal Health provides a supportive team environment with opportunities for professional growth and development.

Key Responsibilities:

• Psychosocial assessments, crisis intervention, individual and family counseling, and potentially group psychoeducational interventions. Interventions will be both in person and telehealth
• Working with our Patient Navigators to help patients and families gain access to services and resources within and outside of BCH system.
• Collaborating and consulting with our multidisciplinary team around management of psychosocial issues including coping and adjustment to medical diagnoses, difficulties with treatment regimen, family distress related to medical condition, parenting and caregiver concerns, trauma, child protection concerns and domestic violence.
• Developing new programmatic initiatives to support patients and families in the Center for Skeletal Health
• Supporting research and Quality Improvement efforts in the Center for Skeletal Health

Minimum Qualifications

Education:

• Master’s degree in social work

Experience:

• Experience in medical environment and with child protection issues highly preferred
• Flexibility and ability to work in fast-paced, dynamic environment.
• Ability to travel to our clinic locations in Longwood (Boston) and Waltham
• Excellent teamwork and communication skills necessary.

Licensure/Certifications:

• LICSW licensure in the state of MA

New hires are eligible for a $5,000 sign on bonus!

This position is 100% onsite, with a future hybrid component

Boston Children’s Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, childcare and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork. plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.

Position Summary/Department Summary:

Full time social work position (40 hrs.) needed to provide a range of clinical social work services to children, adolescents, and young adults in the Center for Skeletal Health. The Skeletal Health Program is a multidisciplinary clinic dedicated to improving the health and wellbeing of patients diagnosed with various skeletal conditions. The Center for Skeletal Health provides a supportive team environment with opportunities for professional growth and development.

Key Responsibilities:

• Psychosocial assessments, crisis intervention, individual and family counseling, and potentially group psychoeducational interventions. Interventions will be both in person and telehealth
• Working with our Patient Navigators to help patients and families gain access to services and resources within and outside of BCH system.
• Collaborating and consulting with our multidisciplinary team around management of psychosocial issues including coping and adjustment to medical diagnoses, difficulties with treatment regimen, family distress related to medical condition, parenting and caregiver concerns, trauma, child protection concerns and domestic violence.
• Developing new programmatic initiatives to support patients and families in the Center for Skeletal Health
• Supporting research and Quality Improvement efforts in the Center for Skeletal Health

Minimum Qualifications

Education:

• Master’s degree in social work

Experience:

• Experience in medical environment and with child protection issues highly preferred
• Flexibility and ability to work in fast-paced, dynamic environment.
• Ability to travel to our clinic locations in Longwood (Boston) and Waltham
• Excellent teamwork and communication skills necessary.

Licensure/Certifications:

• LICSW licensure in the state of MA

New hires are eligible for a $5,000 sign on bonus!

This position is 100% onsite, with a future hybrid component

Boston Children’s Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, childcare and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork. plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.

Site: Mass General Brigham Medical Group, Inc.

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Hybrid Schedule | Make a Lasting Impact

About Us:
The Mass General Brigham Medical Group is a system-led operating entity formed by Mass General Brigham to deliver high-quality, low-cost, innovative community-based ambulatory care. This work stems from Mass General Brigham's unified system strategy to bring healthcare closer to patients while lowering total healthcare costs. The Medical Group provides a wide range of offerings, including primary care, specialty care, behavioral and mental health, and urgent care, both digitally as well as at physical locations in Massachusetts, New Hampshire, and Maine. The group also offers outpatient surgery and endoscopy, imaging, cardiac testing, and infusion. We share the commitment to delivering a coordinated and comprehensive experience across all locations, ensuring the appropriate level of care is available to every patient across our care delivery sites.

Job Opportunity:
Are you a compassionate Clinical Social Worker looking to make a meaningful impact in primary care?

Become a vital member of our ambulatory care teams, helping patients navigate complex psychosocial challenges while advocating for their well-being. This hybrid role offers the opportunity to work both in-clinic and remotely, providing flexibility while ensuring comprehensive patient support.

Why Join Us?

Hybrid Schedule - Work both on-site, collaborating with care teams and meeting patients, and remotely from home.
Technology & Training - We equip you with the tools and support needed to succeed in both settings.
Meaningful Work - Support patients through care coordination, crisis intervention, and advocacy while improving healthcare accessibility.
We're offering a generous sign-on bonus to welcome you to our team. Recognizing and valuing exceptional talent, we're eager to discuss the exciting details of this bonus during our interview process.

Available Locations -Let us know your preference in your cover letter!

uD83DuDCCD Westford and Concord
uD83DuDCCDWellsley
uD83DuDCCDNatick/Newton/Millis/Needham
uD83DuDCCD Weymouth and Pembroke
uD83DuDCCD Northampton
uD83DuDCCD Merrimack Valley / Southern NH *(Patients include both pediatrics and adults; seeking candidates with experience in child and family care)

Job Summary
What You'll Do:

As a Clinical Social Worker, you will work closely with primary care teams to assess patient needs, periodically provide short-term counseling based on needs, and connect individuals with essential resources. You'll play a key role in enhancing patient well-being and improving care coordination.

Key Responsibilities:
uD83DuDD39 Conduct comprehensive assessments and develop individualized care plans.
uD83DuDD39 Provide short-term counseling and crisis intervention on a very limited basis as needed.
uD83DuDD39 Advocate for patients, helping them navigate healthcare systems and community resources.
uD83DuDD39 Offer health education and promote self-management strategies.
uD83DuDD39 Collaborate with physicians, nurses, and behavioral health specialists to enhance patient

Qualifications

Who We're Looking For:

• Licensed Clinical Social Worker (LICSW/LCSW/ LMHC ) in Massachusetts strongly preferred.
• Master's degree in Social Work (MSW) or Masters in Mental Health & Behavioral Medicine
• At least 1 year of experience in a medical or clinical setting strongly preferred.
• Strong communication and interpersonal skills to build trust with patients and healthcare teams
• Ability to work both independently and collaboratively in a fast-paced environment

Additional Job Details (if applicable)

Why This Role Matters:

At Mass General Brigham Medical Group, we are committed to delivering high-quality, community-based healthcare while reducing barriers to care. As a Clinical Social Worker, your expertise will directly impact patient lives, helping them access the support and services they need to thrive.

Join us and be part of a mission-driven team dedicated to transforming primary care-one patient at a time.

Remote Type

Hybrid

Work Location

335 Revolution Drive

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

EEO Statement:

Mass General Brigham Medical Group, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at ( .

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

What You'll Do:
As a Clinical Social Worker, you will work closely with primary care teams to assess patient needs, periodically provide short-term counseling based on needs, and connect individuals with essential resources. You'll play a key role in enhancing patient well-being and improving care coordination.
Key Responsibilities:
Conduct comprehensive assessments and develop individualized care plans.
Provide short-term counseling and crisis intervention on a very limited basis as needed.
Advocate for patients, helping them navigate healthcare systems and community resources.
Offer health education and promote self-management strategies.
Collaborate with physicians, nurses, and behavioral health specialists to enhance patient

Who We're Looking For:

• Licensed Clinical Social Worker (LICSW/LCSW/ LMHC ) in Massachusetts strongly preferred.
• Master's degree in Social Work (MSW) or Masters in Mental Health & Behavioral Medicine
• At least 1 year of experience in a medical or clinical setting strongly preferred.
• Strong communication and interpersonal skills to build trust with patients and healthcare teams
• Ability to work both independently and collaboratively in a fast-paced environment

Why This Role Matters:

At Mass General Brigham Medical Group, we are committed to delivering high-quality, community-based healthcare while reducing barriers to care. As a Clinical Social Worker, your expertise will directly impact patient lives, helping them access the support and services they need to thrive.

Join us and be part of a mission-driven team dedicated to transforming primary care-one patient at a time.

Mass General Brigham Medical Group, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

**Job Type:** Regular
**Time Type:** Full time
**Work Shift:** Day (United States of America)
**FLSA Status:** Exempt
**When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.**
As a Social Worker within Beth Israel Lahey Health Performance Network, you will have the opportunity to make a profound impact on the lives of people living with multiple chronic illnesses as well as vulnerable populations with complex medical, social, and behavioral health needs. This position is responsible for supporting Beth Israel Lahey Health Performance Network 's (BILHPN) value-based care initiatives within risk contracts and ACO's, working collaboratively with primary care, ambulatory and post acute settings. . The overarching goal is to improve coordination of patient care, reducing total medical expense over time. The Social Worker addresses both the individual's psychosocial status as well as the state of the individual's healthcare support system, facilitating interventions at the patient and family as well as system levels. The Social Worker links the patient with systems that provide him or her with needed services, resources, and opportunities.
The Social Worker supports value based care initiatives which aim to reduce total medical expense. The Social Worker ensures that the patient obtains the best and most appropriate treatment by encouraging the most effective and cost efficient use of health care and related services.
The Social Worker provides care coordination for a patient's care throughout the care continuum including hospital stay, post-acute care and chronic care community services. Consistent with the Triple Aim, The Social Worker seeks to enhance quality and patient experience of care while eliminating unnecessary costs for patients.
Working with the team, the Social Worker monitors appropriate utilization of healthcare resources and promotes quality and efficiency by developing and implementing a patient-centered care plan. The Social Worker is accountable for ensuring efficient and professional social work services for patients and families that are designed to promote and enhance their physical and psychosocial functioning with attention to the social and emotional impact of illness and disability.
The Social Worker upholds the current standards of social work case management practice and reports to the Manager of Care Management
**Job Description:**
Essential Duties & Responsibilities (including but not limited to):
-Accountable for providing safe patient care by demonstrating organizational skills that maintain and coordinate safe delivery of quality care for assigned patients/families.
-Develops a culturally competent plan of care that identifies patient problems, expected outcomes, and addresses preventative measures.
-Aims to improve patients' overall quality of life within the community by supporting treatment goals, empowering them to be advocates for themselves and assisting them to obtain benefits, access to health care and social services.
-Provides care coordination for individuals with multiple social stressors and/or behavioral health concerns. Utilizes screening criteria developed for the overall purpose of coordination of quality health care services, reduction of service fragmentation, enhancement of quality of life, and the appropriate use of health care resources.
-Supervises a team of 0-5 community health workers.
-Assists in obtaining advanced directives.
-Assists in facilitating access to healthcare, including by arranging access to social services such as arranging transportation to medical appointments.
-Works independently providing case management services based on a comprehensive psychosocial assessment including addressing cognitive functioning, functional status, culturally sensitive issues, patient/caregiver support system, insurance, financial status and home & community environment. Uses this information to develop a patient-centered care plan and shares this information with patient/caregiver and healthcare team.
-Conducts reassessments on an ongoing basis, including at prescribed intervals and whenever there is a significant change in the patient's health, abilities, living situation, and family involvement.
-Collaborates with the patient/caregiver and healthcare provider to formulate an individualized effective case management plan of care and implementation strategy, including by identifying the patient's strengths and support systems.
-Participates in quality improvement activities aimed to improve patient-population outcomes and associated processes.
-Offers community-based care coordination for individuals in need of support and outreach in order to successfully engage medical, behavioral health and social services in the community.
-Works closely with nurse case managers, pharmacists, community health workers, and other members of the care team throughout the continuum of care including acute hospital, skilled nursing facility, acute rehabilitation, and home care. The Social Worker will be responsible for insuring the transitions of care are handled well and the needs of the patient/caregiver are anticipated and met.
-Makes referrals as needed to appropriate medical/psychology/behavioral health professionals and to appropriate community programs/resources.
-Works collaboratively with the ACO's LTSS and BH Community Partners and other community agencies to ensure a patient-centered care plan is developed and maintained for patients with LTSS and/or BH needs.
Leadership Competencies
-Demonstrates professional behavior by adhering to unit policies and procedures, practice guidelines specific to the setting and the National Association of Social Workers' Code of Ethics.
-Demonstrates skills as a responsive team member.
-Demonstrates clinical leadership as evidenced by supporting research and development of care pathways.
-Demonstrates role of social worker as teacher and coach.
-Demonstrates ability to fulfill role in supporting the ACO in regulatory compliance as appropriate.
-Practices in accordance with applicable state and federal regulations, statutes, and laws.
Organizational Requirements:
-Maintains strict adherence to the Beth Israel Lahey Health (BILH) Confidentiality policy.
-Incorporates BILH Standards of Behavior and Guiding Principles into daily activities.
-Complies with all BILH Policies.
-Complies with behavioral expectations of the department and BILH.
-Maintains courteous and effective interactions with colleagues and patients.
-Demonstrates an understanding of the job description, performance expectations, & competency assessment.
-Demonstrates a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.
-Participates in departmental and/or interdepartmental quality improvement activities.
-Participates in and successfully completes Mandatory Education.
-Performs all other duties as needed or directed to meet the needs of the department.
Minimum Qualifications:
Education: Masters in Social Work
Licensure, Certification & Registration: LICSW - Current Active, unrestricted Massachusetts Social Work License required.
Experience:
-5 years medical or community based social work experience is preferred.
-Excellent clinical, interpersonal and communication skills. Must be able to work collaboratively with other healthcare professionals as well as independently. Experience working with the chronic, complex and/or behavioral health population in a physician management service organization is highly desirable.
-Must be proactive, assertive, and possess creative problem solving skills.
-Experience with Medicare population, managed care, ACO, medical home or integrated case management environment highly desirable.
-Must be proficient in computer skills, internet, information technology and electronic medical record use. Epic experience highly desirable.
Skills, Knowledge & Abilities:
1. Demonstrates expert practice skills that include flexibility, priority setting, problem-solving, conflict resolution, negotiating and networking skills, decision making, work delegation and organization, and verbal / written communication skills.
2. Demonstrates effective teaching techniques applying adult learning principles.
3. Demonstrates ability to coordinate appropriate educational materials for patients and their support systems.
4. Demonstrates sound knowledge bases and actions in the decision making process for designated patient populations.
5. Excellent interpersonal and organizational skills.
6. Knowledge base of psychosocial care, case management, social work, community resources and related regulations.
7. Ability to manage and provide leadership to an interdisciplinary group.
**As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more ( about this requirement.**
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