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Exemption Status:

Exempt

Hiring Range:

$26.95 - $111,259.20

Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations.

Schedule Details:

Sunday through Saturday

Scheduled Hours:

8-430

Shift:

1 - Day Shift, 8 Hours (United States of America)

Hours:

40

Cost Center:

24030 - 4404 Discharge Planning

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver

At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

Provides assessment of patients/families and their adaptation to patient’s illness. Provides counseling as needed and ensures maximum patient participation in plans for discharge and recovery. Identifies system or discharge problems and develops discharge plans and presents options to patients. Assessment of all potential cases of abuse: child, elderly, disabled and/or domestic violence.

I.            Major Responsibilities:

1. Provides clinical service to patients and their families through individual, family, or group work, such as biopsychosocial assessment, crises intervention, treatment planning and counseling relative to medical conditions.

2. Identifies clinical resources and make referrals when necessary.

3. Collaborates with physicians, care coordinators, discharge planners, and other health care professionals to identify barriers to discharge or treatment and help resolve these issues with patients, families, or external sources.

4. Advocates for patients and families as they negotiate the health care system so that effective care, treatment, and planning may occur.

5. Documents all information obtained in evaluation, assessment, consultation, referral, and disposition to comply with regulatory requirements, as well as ensuring best possible patient outcome.

6. Utilizes the language of the current DSM-IV-TR to establish comprehensive diagnostic evaluations and subsequent planning and treatment.

Standard Staffing Level Responsibilities:
1. Complies with established departmental policies, procedures and objectives.
2. Attends variety of meetings, conferences, seminars as required or directed.
3. Demonstrates use of Quality Improvement in daily operations.
4. Complies with all health and safety regulations and requirements.
5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.
6. Maintains, regular, reliable, and predictable attendance.
7. Performs other similar and related duties as required or directed.

All responsibilities are essential job functions.

II. Position Qualifications:

License/Certification/Education:
Required:
1. Master’s Degree in Social Work.

2. Current Massachusetts Licensed Clinical Social Worker (LCSW) licensure.

Experience/Skills:
Required:
1. Demonstrated ability in psychosocial assessment, knowledge of community resources, crisis intervention skills, ability in discharge planning, and ability to work with a multidisciplinary team.

2. Data compilation and analysis skills.

3. Excellent written and communications skills. 

4. Basic computer skills.

Preferred:

1. One to three years of Social Work experience.

Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.

Department-specific competencies and their measurements will be developed and maintained in the individual departments.  The competencies will be maintained and attached to the departmental job description.  Responsible managers will review competencies with position incumbents.

III. Physical Demands and Environmental Conditions:

Position requires work indoors most often in an office environment.  However, work may also include monitoring patients’ movements and activities resulting in the need for rapid physical response to unsafe patient movements.  This includes standing, walking, running, reaching, bending, lifting, and stooping. 

Job Purpose: 

Provide consultative clinical social work services in a healthcare setting, including biopsychosocial assessment, crisis intervention, counseling, discharge planning, and coordination of community resources to support safe transitions of care.  

Key Responsibilities:

• Perform comprehensive biopsychosocial assessments (including risk/safety assessment as applicable) and develop intervention plans aligned with patient goals and the care team plan.
• Manage complex psychosocial cases, provide crisis intervention, brief counseling/therapeutic interventions, and psychoeducation to patients and family.
• Identify barriers to treatment/discharge (e.g., housing, safety, financial, caregiver support, transportation) and coordinate plans to address them to progress through the care continuum.
• Coordinate referrals and linkage to community resources and/or state agencies across the care continuum (shelter/housing supports, Social Determinants of Health (SDOH) benefits, behavioral health, Substance Use Disorders (SUD) treatment, etc.).
• Advocate for patients and families as they navigate the healthcare system; facilitate problem‑solving and conflict resolution when needed.
• Collaborate in Multi Disclipnary Rounds (MDR) and/or multi-disciplinary discussions; communicate plans, barriers, and disposition needs clearly and timely.
• Document assessments, plans, interventions, referrals, and outcomes in the Electronic Health Record (EHR) to meet organizational, payer, and regulatory requirements.
• Liaison between medical team and Office of General Counsel (OGC) to mitigate legal issues (e.g. guardianship /affirmation /expansions).
• Provide oversight to Social Worker (LCSW) staff, if applicable.
• Complete billing entry for clinical services, if applicable.
• Support basic data tracking/compilation and quality improvement initiatives as assigned.

Preferred:

1. Experience in discharge planning or case management.
 

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.

As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.