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Job Summary
The Complex Care Team Clinical Social Worker is an integral member of the Complex Care Management Team. They are a vital collaborator on the care team to help reduce length of stay and readmission due to psychosocial conjunction with the unit-based teams they support and interface with the interdisciplinary health care teams. The Complex Care Team Clinical Social Worker provides and oversees the provision of psychosocial care for patients who have co-morbidities that drive evaluation intervention and planning for patients with complex psychosocial risk (e.g. safety concerns protective services homelessness etc.) They provide clinical services to patients/families that address psychosocial environmental age specific and cultural issues to maximize emotional social and physical wellbeing and the effective use of health care and community resources to ensure appropriate and high-quality services are provided after discharge at the right site of care all while supporting clinical excellence for discharge plans. This is accomplished by conducting rapid clinical biopsychosocial assessments providing intervention and treatment as indicated and in collaboration with any involved social worker on the care team; identifying high risk psychosocial factors that impact health status and helping care teams understand the influence of those factors on the course of medical care. The Complex Care Team Clinical Social Worker collaborates with and provides social work consultation to other disciplines within the Hospital and community and participates in Departmental Hospital and community task forces and committees. The Complex Care Team Clinical Social Worker reports directly to the Senior Nurse Director of Case Management with clinical peer support from the Director of Social Work. Clinical Practice: Rapidly performs clinical biopsychosocial assessments to include evaluation of social history current functioning mental health substance use psychiatric history support system coping styles understanding of illness barriers to care cultural issues abuse/neglect/safety concerns intimate partner violence. Provides psychosocial assessment of families to determine family relationships/systems as they relate to care of the patient. Identifies family decision makers and caregivers family understanding of illness and trajectory of care and coping styles family resources and cultural considerations. Formulates diagnostic impressions recommendations and plan. Collaborates with care team to develop and optimize plan of care and disposition to reduce length of stay and readmission. Works in a very fast-paced dynamic demanding environment receiving consults throughout the day to evaluate a broad range of issues and concerns acutely. Manages consultation requests by understanding and prioritizing needs relative to patient acuity and barriers to safe discharge. Consult reasons include but are not limited to: adjustment to new diagnosis/illness/injury end of life and complex bereavement needs safety concerns including child disabled elder abuse neglect and financial exploitation sexual assault intimate partner violence trauma mental health and psychiatric concerns complex relationship and family dynamics coping advanced directive/guardianship and custody concerns limited supports and accessing resources. Provides mandated assessments when abuse is suspected (child disabled adult elder) and specialized safety assessment when violence is suspected. Files mandated reports as indicated. Provides consultation and guidance to mandated reporters of other disciplines when they must file. Employs a range of clinical interventions such as psychotherapy (individual couples families and group) short-term counseling crisis intervention safety planning care coordination complementary therapies information and referral. Advocates on behalf of patients and families to gain access to services and resources. Works effectively as a vital collaborator with the interdisciplinary care team. Provides psychosocial consultation on patient/family care and management. Facilitates the appropriate and efficient use of Hospital resources. Collaborates with many internal collaterals to include but not limited to: Office of Patient Relations Office of General Counsel Optimum Care Child Protection Team HAVEN Police and Security International Office Office of Decedent Affairs and external collateral contacts and agencies to optimize the plan of care for patients and families. Identifies patients psychosocial financial legal psychiatric or substance use discharge barriers that affect patient care progression and collaborates with the team to facilitate safe transitions in care. Coordinates family team meeting as needed and when appropriate in collaboration with the interdisciplinary team. Facilitates the appropriate and efficient use of hospital and community resources. Performs other duties as assigned. Teaching and Education:Qualifications
Education
Masters Degree Social Work required
Additional Job Details (if applicable)
Skills Abilities Competencies
Knowledge of specific medical and psychiatric illnesses procedures and treatments related medications (i.e. psychotropic chemotherapy etc.) acuity versus chronicity effect on normal growth and development specific to service.
Ability to rapidly conduct and develop comprehensive biopsychosocial assessments responsive to age-appropriate patient/family needs and concerns.
Ability to provide short term or long-term treatment/management of individuals families couples and groups.
Exceptional organizational skills and ability to prioritize effectively to complete work in a timely way in the acute care environment.
Strong assessment crisis intervention and treatment skills.
Ability to communicate effectively orally and in writing.
Strong interpersonal skills enabling effective collaboration.
Competence in assessing and intervening in abuse/neglect violence trauma grief loss and bereavement.
Competence working with people from diverse racial ethnic and socioeconomic backgrounds.
Demonstrates ability to understand the role of a clinical social worker in a health care setting highly motivated and capable of performing effectively in a complex fast-paced environment.
High degree of flexibility independence ability to prioritize multiple acute concerns advanced management skills Strong sense of initiative and perseverance to carry through to completion of tasks.
Develops an effective working relationship with patient/family to engage collaborate advocate and problem solve to enhance their functioning.
Develops effective working relationships with interdisciplinary colleagues multiple rotating care teams internal collaterals and external collateral agencies to engage collaborate advocate and problem solve to optimize a plan of care reduce length of stay and avoid readmission.
Demonstrates competency in age specific behaviors cultural issues and the impact of illness on patients/ families.
Provides consultation information and professional support to interdisciplinary team members and social work colleagues.
Shares knowledge of community agencies and resources.
Ability to navigate complex systems with patients/families and to effectively advocate on their behalf.
Demonstrates initiative and leadership to drive the psychosocial plan of care in response to patient care needs.
Documents in medical record according to Departmental policies and procedures.
Maintains patient/family confidentiality in accordance with HIPAA and MGH policies.
Ability to consult and teach.
Remote Type
HybridWork Location
265 Charles StreetScheduled Weekly Hours
40Employee Type
RegularWork Shift
Day (United States of America)Pay Range
$105684.80 - $153722.40/AnnualGrade
9 At Mass General Brigham we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive and any offer extended will take into account your skills relevant experience if applicable education certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however it does not encompass all elements contributing to your total compensation addition to competitive base pay we offer comprehensive benefits career advancement opportunities differentials premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.EEO Statement:
1200 The General Hospital Corporation 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 Veterans 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 .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.
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