Medical Social Worker
The Medical Social Worker ("MSW") will provide direct clinical social work services to patients and their families at assigned clinic site(s) and will be expected to deliver clinical services to the patient and/or their family in an expeditious, courteous, and professional manner. The incumbent will assist patients using a “coaching” method rather than “teaching” to improve their health behavior to attain health-related goals. Expected to complete a comprehensive psychosocial needs assessment of patients. Facilitate patient and caregiver access to care and community resources relevant to patient's needs, including referrals to transportation programs, Meals on Wheels, senior centers, chore services, and other needed services. The MSW will also direct caregiver support including ad hoc telephone advice; will assist in the implementation of community services designed to promote optimal patient health; proactively manage and follows-up using home visits and telephone calls according to care plan; work in collaboration with assigned RN partner to address problems and/or concerns about plan of care, as needed, and intervenes regarding adherence issues; assists patients/families with issues related to insurance, such as lack of coverage (or adequate coverage), medication affordability, and benefits related issues; provide counseling and psychosocial assessment of adjustment issues, support systems, coping and needs for dementia, caregiver issues and crisis intervention; facilitate appropriate patient referrals for chronic substance abuse, chronic mental health services, complex care management and other appropriate community resources.
Graduate of an accredited school of social work. Master's Degree and active, unrestricted licensure as a LCSW/LICSW in the Commonwealth of Massachusetts required. CPR Certification. Current Massachusetts driver's license. At least two years practice in a medical setting preferred. Excellent communication, interpersonal and organizational skills, with a flexible and creative approach to problem solving. Proficient in computer use, the Internet and health information technology. Ability to travel to hospitals, skilled nursing facilities, patient's homes and other sites where patients received care as needed. Successfully able to work independently as well as a member of an interdisciplinary team. Ability to travel frequently to hospitals, skilled nursing facilities, patient's homes and other sites where patients receive care. Possesses good clinical judgment and decision making skills.