Social Worker -Licsw- Care Coordinator/ 40 Hours - Days/Bwh Chestnut Hill Primary Care

Brigham And Women's Hospital Chestnut Hill , MA 02467

Posted 3 weeks ago


Given how much of individual and population health is related to the behaviors our patients chose, and the environment in which they live, we have decided that every healthcare team will have a dedicated social worker. The social worker will engage collaboratively with patients, families and the interdisciplinary healthcare team to address psychosocial barriers to care, lead efforts around management of psychiatric disorders for the team's patients, and coach patients and families in making the changes they need to maximize their health. The social worker role is multifaceted and the following description further clarifies the role and responsibilities in concert with the social work ambulatory care job description.


Clinical Practice

  • Psychosocial/Behavioral Health

o Provide collaborative assessment, triage, stabilization and brief interventions around acute psychosocial/behavioral health issues that impact patients/families functioning and/or medical adherence

o Provide short- and long-term psychotherapy to patients as assessed. Treatment plan will reflect goals and plan of work being done. Billing will be done in accordance of the established guidelines.

o Provide recommendation and coordination of external and/or urgent psychiatric/social resources based on assessment and collaboration with patient/family.

o Provides risk assessment and intervention in conjunction as part of the interdisciplinary team with emphasis on harm reduction, and when necessary emergency services, and coordination with appropriate resources.

o Provide a care management approach around psychosocial/behavioral health needs using an evidence-based collaborative care management approach.

o Collaborates with the consulting psychiatrist, iCMP RN, Behavioral Health Support Specialist.

  • Health Behavior

o Provide clinical assessment with patients around chronic disease and health behavior self-management obstacles.

o Provide health behavior interventions that include, but not limited to, health action plans, utilizing change interventions; motivational techniques and problem solving that addresses obstacles to goals, and supports and increases patients and their family's self-efficacy of health behaviors

o Provide interventions around behavioral change as part of the interdisciplinary team during office "warm handoff", shared medical appointments, and/or scheduled appointments.

  • Care Coordination

o Provide follow-up and intervention with patient/family around psychosocial issues.

o Provide psychosocial care with patients who are at psychiatric risk, in collaboration with psychiatry/Team members/external resources, as indicated.

o Continuous develop of external professional relationships and knowledge of resources to further support and assist the needs of patients and their families.

Consultation and Education Role

  • Collaborates with the different team disciplines around awareness, education, and recommendations to address psychosocial, mental health and motivational issues that impact the patient/family chronic disease, no show/cancellation of appointments, medication adherence, and provide direct clinical work as indicated

  • Provide education opportunities to the practice about clinical methods/techniques that further support behavior changes in patients; motivation interviewing, problem-solving techniques, etc.

  • Provide education and awareness of behavioral health/psychiatric conditions and issues that impact provision of care and health outcomes. Be the Behavioral Health Leader in the practice.

  • Provide consultation and education with the practice clinical team around psychosocial issues that arise in their role, and provide direct clinical counseling as indicated.

  • Participate in the education of students and residents around their awareness, knowledge and understanding of psychosocial/behavioral health issues and their impact on health behaviors and outcomes.

Practice process improvement efforts

  • Co-Lead the implementation of collaborative, evidence-based models of care for psychosocial needs and mental health/behavioral health for the team; depression, anxiety, other as identified

  • Participate in process improvement groups

  • Other improvement efforts as appropriate within scope of practice

  • Leads the development and continuous improvement of practice level efforts related to:

o Health literacy

o Abuse/Safety issues (Domestic violence, elder/child/disabled adult abuse and mandated reporting)

o Delivery of Behavioral Health Services


  • Provides care in scheduled one-on-one visits, in real-time warm handoffs from providers, by phone and by e-mail

  • Assist co-workers in their duties (within the limitations of training and scope of practice)

  • Cover other practices when their assigned clinical social worker is out, on vacation or a vacancy

  • All other duties as prescribed


  • Clinical experience, understanding of, and comfort working with patients of all ages who suffer complex medical and psychiatric problems; ability to work with the families of such patients, and ability to help patients and families understand and access the resources required to support care.

  • Ability to provide rapid clinical psychosocial assessments and brief, short or long term treatment/management with individuals, families, couples and/or groups.

  • Advanced crisis intervention/treatment/management skills; strong assessment and treatment skills.

  • Differential diagnosis and treatment with all modalities

  • Competence in abuse/neglect/violence, trauma, grief loss and bereavement

  • Cultural sensitivity and demonstrated competency in age specific behaviors

  • Knowledge of specific medical/psychiatric illnesses, procedures and treatments

  • Excellent clinical social work assessment and crisis intervention knowledge and skills

  • Strong understanding of psychiatric and family system problems, and ability to use this understanding to formulate succinct case summaries.

  • Knowledge of community agencies/resources. Ability to advocate/negotiate systems for/with patients and families.

  • Demonstrated ability to understand the role of social worker in a complex, fast-paced medical environment

  • Demonstrated ability to consult/teach

  • Demonstrated ability to communicate effective orally and in writing. Excellent interpersonal skills including negotiation skills necessary to collaborate within a multi-disciplinary team.

  • Tolerance for ambiguity; analytical skills and computer literacy

  • A sense of humor



  • Master's of Social Work Degree from an accredited program required


  • Current Massachusetts Licensed Independent Clinical Social Worker (LICSW) required.


  • Previous clinical social work experience in a hospital setting preferred.


  • Bilingual (English/Spanish) preferred.
icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Licensed Practical Nurse / 40 Hours / Day / BWH Dermatology 850 Boylston

Partners Healthcare System

Posted 3 days ago

VIEW JOBS 5/28/2020 12:00:00 AM 2020-08-26T00:00 The Triage LPN is responsible for functions necessary for the complete and efficient management of patients through the dermatology ambulatory facilities. This position also provides clinical support for the majority of ambulatory practices within the Department of Dermatology. This includes multiple sites: Brigham Dermatology Associates at 850 Boylston Street, Brigham Dermatology Associates and Phototherapy located at 221 Longwood Avenue, 850 Specialties, Derm-Contact Derm Center and Women's Health located at 850 Boylston Street, Newton Corner located at 272 Centre Street, and the Mohs Surgery Center located at 1153 Center Street. This position performs all of the following functions: handling patient phone calls in accordance with Department standards, screening patient calls for urgency of medical treatment, call or fax pharmacies with appropriate medication prescriptions and renewals as directed by the physician, this includes the completion of prior authorization forms if needed. Responsible for discussing normal lab and pathology results with patients as directed by physician. Performs and documents all triage interaction, lab results, and prescription renewals in EPIC and in accordance with BWH and Department procedures. Other responsibilities include; assisting physicians with procedures, treatments, and or instructions to patients. In addition, s/he performs as part of a team with other colleagues in the practice to assure that the necessary universal office needs are met and completed. PRINCIPAL DUTIES AND RESPONSIBILITIES: For all positions that include direct patient care, indicate with an "X" the age(s) of all patient populations served No Direct Patient Care All age groups Adolescence (13 to 17 years) X Neonates (birth to 1 month) Young Adult (18 to 25 years) X Infant (1 month to1year) Adult (26 to 54 years) X Early Childhood (12 months to 5 years) Senior Adult (55 to 64 years) X Late Childhood (6 to 12 years) Geriatric (65 years and up) X * Primary Responsibilities (90%): * A. Performs all triage functions, handling patient phone calls in accordance with Department standards. * B. Screen patient calls for urgency of medical treatment and determine/recommend same day or future appointment. * C. Post-op phone calls 24 hours after surgical appointment (assess s/sx of infection, discuss wound care and answer any questions). * D. Call or fax pharmacies with appropriate medication prescriptions and renewals as directed by the physician. Including the completion of prior authorization forms. * E. Responsible for discussing normal lab and pathology results with patients as directed by physician. Assist/set up any further appointments/testing required/requested by MD. * F. Patient care management/coordination - works with physicians/clinical support/scheduling staff to ensure that patient care needs are met. * G. Performs and documents all triage interaction, lab results, and prescription renewals (including iPledge) in EPIC and in accordance with BWH and Department procedures. * H. Monitor Gateway messages. Respond/forward to MD as appropriate. * I. Maintain/update triage reference material. 2. Secondary Responsibilities (10%) * Performs all functions including; assisting with the processing and disposition of patients, facilitate patient flow, assist with procedures and apply wound dressings as directed by physician. Perform patient education regarding; informed consent, wound care and medication instruction. * Accurately performs patient intake, using two patient identifiers. * Keep physicians and patients up to date on patient volume and wait times during sessions. * Responsible for procedure set-up and physician assistance for all dermatological procedures, using sterile technique. Procedures include punches, shaves, biopsies, ED & C, excisions and cosmetics. * Responsible for drawing local anesthetic/administer injections and provide patient education/teaching as needed. * Responsible for stocking inventory of all equipment and supplies used for the delivery of clinical care. * Autoclaves instruments for use in the department. Follows infection control and regulatory compliance guidelines. * All other duties as assigned, including cross-coverage to front office, and travel to satellite practices when necessary. QUALIFICATIONS * Graduate of an accredited Licensed Practical Nursing Program. * Current LPN Licensure in the Commonwealth of Massachusetts. * Must be certified in Basic Life Support or willing to become certified within 3 months. * Experience with autoclaving preferred. SKILLS/ ABILITIES/ COMPETENCIES REQUIRED * Must have necessary analytical, judgmental and interpersonal skills to deal effectively with patients, families and co-workers. * Communicates with physicians and supervisor to determine needs and to solve problems regarding issues. * Ability to handle sensitive information. * Strong customer service and interpersonal skills. * Ability to sit, stand, or move about for extended periods. * Ability to work in close contact with patients (witness medical concerns). * Ability to establish and maintain good relationships with fellow employees. * Must demonstrate ability to work as a team member. * Willingness to cover for other employees as the need arises. * Assists patients in a manner that promotes the perception that the staff is courteous, efficient, and interested in their health care. * Treats all patients with dignity and professionalism. Partners Healthcare System Chestnut Hill MA

Social Worker -Licsw- Care Coordinator/ 40 Hours - Days/Bwh Chestnut Hill Primary Care

Brigham And Women's Hospital