iCMP Social Worker - North Shore Physicians Group

Bonus - New, full-time Social Workers are eligible for a taxable bonus of $3,000.00 to be paid out after the successful completion of your first 90 days of employment.

About Us

North Shore Physicians Group (NSPG), the largest multi-specialty physicians group north of Boston, is a leader in innovative practices. We are explorers at heart! Here, ideas come from everyone—to the benefit of everyone we serve.

We continually seek the best ways to streamline care for both patients and providers. Our medical team of more than 400 physicians, nurse practitioners, physician assistants, and other care professionals is consistently working together to discover new ways to improve and enhance our practices to benefit the health of our patients and the careers of our providers.

With NSPG as your employer, you’ll experience clinical excellence, supportive practice environments, and opportunities for career advancement! Through our team-based approach, the goal is to make our practice of medicine smarter and more efficient.

Location

The specific office location has not be determined at this time, but the position will sit on the North Shore.

General Overview

The Clinical Social Worker is an integral member of the Population Health Team and assigned ambulatory care practice, working closely with the clinical and administrative staff to enhance the delivery of patient care services along the continuum of care. The Social Worker identifies high-risk psychosocial factors of patients, helps primary care staff understand the influlence of those factors upon the course of medical care and assumes care coordination responsibility of the patients. In some cases, and as appropriate, the Clinical Social Worker may provide direct treatment/intervention to patients and families. In other cases, the Clinical Social Worker may work with the treating outpatient mental health clinicians, within and outside of our system, helping to ensure that treatment is focused and effective.

The Clinical Social Worker may also work as part of the Integrated Care Management Program (iCMP) embedded within the practice. iCMP is a Population Health initiative for high-risk patients who are medically, psychiatrically, and socially complex. iCMP is centrally overseen by the Center for Population Health and locally managed and run at the North Shore Health System.

The Clinical Social Worker may also work as part of the Medicaid ACO Social Work Care Management Program. This is also a Population Health initiative for high-risk patients who are psychiatryically and socially complex. This program is also centrally oveseen by the Center for Population Health and locally managed and run at the North Shore Health System.

Upon referral from a team member, the Clinical Social Worker asseses and evaluates a patient's psycho-social needs and/or serves as the lead care coordinator to manage patients who have social work needs.

This position requires a high degree of leadership, flexibility, independence, and teamwork. The Clnical Social Worker must have strong communication and be an integral team player. This includes the abilitly to engage easily with patients, caregivers, ambulatory practice staff, community resources, and the iCMP team. The Clinical Social Worker works with the care team to ensure patients are receiving the higest level of care, at the right time in the right setting, achieving an optimum quality of life for the patient, and reducing overall costs of care .

The Key Functions of the Clinical Social Worker are;

• Comprehansive assessment and case management
• Patient navigation
• Health Promotion
• Crisis Management
• Self management education
• Transitional care
• Patient and family support
• LIasion to commuity services
• Short-term counseling
• Advanced care planning
• Team consultation

Mass General Brigham is an Equal Opportunity Employer. By embracing diverse skills, perspectives, and ideas, we choose to lead. 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.