Ambulatory Social Worker Case Manager
Harvard University Health Services

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Post Date: Jul 12, 2022
Job Type: Part Time
Start Date: 07/12/2022
Salary: 70800-94900
Location: US - Massachusetts - Cambridge
Job Reference: - n/a -
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Assists HUHS patients and their families in coordinating medical, social, emotional, insurance, and vocational issues related to injury or illness. Conducts psychosocial assessments, either in-person or telephonically, in order to develop a comprehensive out-patient care plan that guides work with patient.

This is a term appointment, up to three months with the possibility to extend, on-site position.

Position Description:
Assumes responsibilities of an active caseload, including following patients throughout the continuum of care.
Provides Ambulatory Case Management services to identified HUHS patients through a process of research, patient interview, development of care plans and monitoring of care.
Researches clinical history of identified patients using all necessary and appropriate resources.
Provides a clinical assessment either telephonically or as appropriate in person to assess patient's needs and perception of their health status.
Provides pre-operative outreach and assessment to identified student athletes.
Assists HUHS patients and their families coordinate medical, social, emotional, insurance, and vocational issues related to injury or illness.
Educates patients and families regarding Advance Directives and assists patients and families in completing Advance Directives.
Promotes effective communication with hospitals and their departments. Educates them to resources available at Harvard University Health Services.
Participates in/attends IM Team Meetings and daily huddles.
Participates in/attends HUHS committees/work groups when appropriate.

Educates patients/families/caregivers as to trajectory of certain disease processes and level of support/care needed throughout disease process.
Educates patients/families about health insurance processes and when appropriate benefits. Directs patients/families where to learn more about health insurance benefits.
Collaborates when appropriate with BCBS MA Nurse Case Manager in case management of HUSHP/HUGHP patients with complex medical and psychosocial needs.
Develops a comprehensive treatment plan. Monitors and assesses appropriateness of treatment plan and makes appropriate modifications as necessary.
Communicates with PCP or treating clinician on areas of concern in addition to ongoing updates on clinical progress.
Reports incidences of suspected abuse and neglect of children, elders, and individuals with disabilities to appropriate designated state agency.
Organizes and participates in patient case conferences as needed Provides timely, appropriate, comprehensive clinical documentation in patient's electronic medical record.
Provides cross coverage for co-workers as needed.
Identifies own learning needs and requests assistance from others when needed.
Works independently, as well as collaboratively, with all members of the health care team.
Treats patients with dignity, respect, and compassion.
Provides prompt care/service and behaves sensitively in all interactions.

Deals with others in a sensitive, tactful, positive, and courteous manner.
Accepts and acts upon feedback.
Utilizes team leader as appropriate for clinical consultation and to apprise of legal, ethical, risk issues that may affect the patient, family, or health services.


Basic Qualifications:
Masters in social work
Current license to practice social work in Massachusetts, either LCSW or LICSW
Minimum of 2 years of social work experience in medical setting

Certificates and Licenses:
Masters in social work
Current license to practice social work in Massachusetts, either LCSW or LICSW

Working Conditions:
This position is not remote, it is an in office position.

Apply Here:


Contact Details
Name: Human Resources
Address: Apply Online
State/Province: Massachusetts
Country: United States
Ph: 888-888-8888