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Sickle Cell Disease Patient Navigator / Social Worker — MGH

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GENERAL SUMMARY/OVERVIEW STATEMENT

To provide patient navigation and clinical social work services to pediatric and adult patients who are receiving medical care for Sickle Cell Disease at Mass General Hospital. Responsibilities include the ability to complete thorough psychosocial assessments, provide psychological and behavioral consultation, family support, care coordination and assistance with identifying resources. The successful candidate will be able to manage a busy caseload while providing clinical care to patients and families across the life-span. In addition, the candidate must be dedicated to promoting diversity, multiculturalism, inclusion to patients receiving medical care at Mass General Hospital and will be able to engage with diverse multicultural and bilingual communities. The candidate will cover ambulatory clinics and inpatients at MGH.

PRINCIPAL DUTIES AND RESPONSIBILITIES

Social Work Responsibilities:

Sees patients of all ages and their families in the Sickle Cell Program developing comprehensive biopsychosocial assessments responsive to developmental, behavioral, and cultural needs and concerns

Formulates treatment plans and disposition.  

Provides psychological consultation and recommendations (e.g. behavior, emotional functioning) across the life span

Collaborates with and provides social work consultation to other disciplines within the Hospital and community

Follows up with families seen in clinics with care coordination, advocacy, psychoeducation, supports, resources, and service referrals, as needed 

Provides psychosocial consultation on patient/family care and management.  Manages care coordination and follow up regarding educational advocacy 

Provides mandated assessments when abuse is suspected (child, disabled adult, elder) and specialized safety assessment when violence is suspected.

Triages contact from patients and families by e-mail or phone who are seen in our clinic seeking support, guidance, resources and supports. 

Follows clinic patients that are hospitalized at MGH, Collaborates with the inpatient SW team for psychosocial, support, care coordination needs of patients and families

Works effectively as part of a social work and interdisciplinary patient care team

Facilitates the appropriate and efficient use of Hospital resources.   

Participates in weekly team meetings in the Sickle Cell Program.

Participates and assists with planning outreach and program development meeting. 

Provides risk management

Credentialed as mental health clinician who provides care within parameters of managed care contracts, as appropriate. 

Participates in formal and informal clinical case reviews and seminars

May participate in research projects.  May initiate/implement psychosocial programs based on patient/family identified need.  Programs may be intermittent, informal or ongoing, formal.

Performs other duties as assigned

Teaching and Education:

Assesses patient/family learning needs, styles and readiness.  Educates patients/families based on treatment plan, identified gaps and barriers, diversity issues and learning styles.

May mentor staff.  May teach in Departmental and Hospital seminars/workshops/rounds.

Collaboration:

Collaborates and consults with patients, families, and providers inside and outside the Hospital to develop and implement outpatient, pre-admission, inpatient and post hospital care.  Refers to and collaborates with interdepartmental specialists and programs, outside agencies, facilities, payors, and other relevant community resources.

Organizational/Administrative Skills:

Takes responsibility for own administrative duties, including timely and appropriate documentation in patient medical records, timely and accurate daily reporting of activities in Epic.

Attends and participates in intra- and interdisciplinary meetings and staff meetings.

Participates in Departmental and Hospital committees.

Professional Conduct:

Adheres to the profession’s clinical standards and Code of Ethics.

Adheres to the Department and Hospital standards, policies and procedures.

Promotes Departmental and Hospital public relations. Provides risk management.

Adheres to Departmental and Hospital quality/safety standards.

Professional Development:

Participates in individual/group supervision as appropriate to level of licensure/professional development.

Is responsible for own professional development.  Attends pertinent continuing education and professional activities related to job responsibilities and career goals.  Keeps current with social work and health care developments pertinent to job and profession.  Achieves licensure at LICSW level when eligible.  Complies with licensure requirements.

Patient Population:

Each clinical social worker has responsibility for a specified patient population(s) as deigned by service and agreed upon by Clinical Director.

SKILLS/ABILITIES/COMPETENCIES REQUIRED

Knowledge of specific medical and psychiatric illnesses, procedures and treatments specific to service.

Develops comprehensive biopsychosocial assessments responsive to age appropriate patient/family needs and concerns.

Provides clinical biopsychosocial assessments and short term or long-term treatment/management of individuals, families, couples and groups.

Develops treatment plans and initiates clinical interventions, utilizing individual and group treatment modalities. Analyzes course and results of treatment.

Develops an effective working relationship with patient/family to engage, collaborate, advocate and problem solve in order to enhance their functioning.

Utilizes individual, couples, family and/or group psychotherapy.

Demonstrates competency in age specific behaviors, cultural issues and the impact of illness on patients/ families. 

Provides information, consultation and professional support to interdisciplinary team members and social work colleagues.

Shares knowledge of community agencies and resources.  Ability to navigate systems with patients/families.

Demonstrates initiative and leadership in developing services which respond to patient care needs. 

Documents in medical record according to Departmental policies and procedures.

Maintains patient/family confidentiality.

Collaborates, consults and teaches.

WORKING CONDITIONS 

Patient navigators and Social workers provide care in various settings:  at the bedside; in treatment areas and offices; and via virtual visits. 

QUALIFICATIONS 

MSW from an accredited school of social work.

LICSW preferred, LCSW with relevant experience will be considered. 

Strong assessment and treatment skills.

Excellent organizational skills.

Demonstrates ability to communicate effectively orally and in writing.

Strong interpersonal skills enabling effective collaboration.

Demonstrates ability to understand the role of social worker in a health care setting and to work independently in a complex, fast-paced environment.

Applicants of diverse backgrounds are encouraged to apply for this position.EEO Statement

Massachusetts General Hospital is an Equal Opportunity Employer.By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged.  

Primary Location

 MA-Boston-MGH Main Campus

Work Locations

 MGH Main Campus 55 Fruit Street  Boston 02114

Job

 Case Management

Organization

 Massachusetts General Hospital(MGH)

Schedule

 Full-timeStandard Hours 40

Shift

 Day Job

Employee Status

 RegularRecruiting Department MGH Equity & Inclusion

Job Posting

 Jul 23, 2021