Medical Social Worker - High Risk Intervention

Location: Beverly, MA
Job ID: 156199-1A
Date Posted: Oct 2, 2019
Category: Clinical Professional

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Job Description

Welcome To

Beverly Hospital  is part of a vibrant and growing health care system, recognized as a trailblazer in medicine and a standard bearer in patient experience. It includes an award-winning academic medical center, a superb constellation of community hospitals, home care services, rehabilitation facilities and more.

We are committed to attracting, developing and retaining top talent in a market long recognized and revered as a global leader in health. With a team approach to care, we encourage learning and growth at all levels, and we offer competitive salaries and benefits. We adhere to the principles of a just and fair work environment for all colleagues, where respect is foundational and performance is rewarded.

About the Job

Beverly Hospital, A member of Lahey Health, promotes the culture and philosophy which enables employees to give and receive the best of care.  You can become a part of the team that achieves this success through our CREATE values of Compassion, Respect, Excellence, Accountability, Teamwork, and Empathy. 

Position Summary:

The Community Social worker will be part of a team of pharmacists, pharmacy technicians, physicians, mid-level providers, as well as Social Workers. The Community based Social Worker will work collaboratively with the existing care team to connect high-utilizing and socially complex patients with the appropriate community resources as required. The Community based Social Worker will work with at-risk patients and families in all settings, including homes. They will assist patients in connecting with any and all available resources with the goal of improving the patient’s quality of life and avoiding unnecessary hospitalizations.

Essential Duties:

  • Works collaboratively with inpatient multidisciplinary teams as well as Ambulatory Care teams such as Lahey ACO, NEPHO, Eliot, Atrius, etc.
  • Successfully builds trusting relationships with patients and caregivers 
  • Serves as an advocate for patients and families
  • Actively connects patients to identified services as requested
  • Ensure patient has transportation to follow up appointments
  • Post discharge, the Community Social Worker connects patient to financial or social services such as food, shelter and transportation as needed
  • Additional connections include family support, support groups such as AA/Grief/NA
  • Communication with patients either by phone, text or face to face
  • Assists patients in connecting to detox or behavioral health services
  • Works collaboratively with homecare services post discharge
  • Build relationships with community resources such as behavioral health organizations, elder care services, jail diversion programs, substance abuse programs, housing authority, community shelters and other organizations that may benefit patients

Scheduled Hours

40 hours per week, day shift.

About Us

The Lahey Model of Care—right care, right time, right place—is exactly what patients, providers and payers need and deserve. Identifying and delivering on this convergence of interests has positioned Lahey Health for further growth. Our model ensures care is highly coordinated and locally delivered, with lower costs and exceptional quality.

Lahey Health is a robust, regional system including a teaching hospital, community hospitals, primary care providers, specialists, behavioral and home health services, skilled nursing and rehabilitation facilities, and senior care resources throughout northeastern Massachusetts and southern New Hampshire. The system has a global presence with programs in Canada, Jordan and Bermuda.

Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.

Qualifications

Knowledge, Skills & Abilities:

  • Strong networks with Essex County community resources and the ability to create new relationships
  • Ability to work collaboratively  
  • High energy and a sense of humor
  • Ability to overcome obstacles in a positive, productive manner; problem solving skills are critical
  • Strong communication skills, both written and oral
  • Strong documentation skills
  • Possess a working knowledge of Section 35 Petitions, Section 12 Petitions, and protective care issues with general knowledge of the social work judicial system
  • Hospital inpatient and psychiatric inpatient experience a plus 

     

Required Education/Experience:

  • Masters in Social Work or related field, with license
  • 2 or more years of direct patient care
  • Willingness and ability to perform outreach services
  • Must have knowledge of medical and medication terminology
  • Working knowledge of health care plans and benefits
  • Familiarity with PC’s and MS Office software applications

     

Own transportation required.