Care Coordinator (LCSW) at Partner's Healthcare in Lexington, Massachusetts

Job Description:

Site: The Spaulding Rehabilitation Hospital Corporation


At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission-from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.


At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare - people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds - to apply.



Job Summary
Work directly with pediatric patients (and their families) in the outpatient setting who are injured, ill, or newly diagnosed with a pediatric condition and who may experience altering changes in income, health insurance coverage, physical access to their home, specialized transportation, and caregiver assistance to maximize independent function in the community. Collaborate across the continuum of care and with the interdisciplinary inpatient and outpatient rehabilitation teams, community providers, and community agencies to promote the highest level of independent function and an active, productive and fulfilling life. Direct and assist patients and their families in the application process for federal, state, and private resources and provide access to specialized disability community resources.



Qualifications



Key Responsibilities



• Patient and family assessment is conducted per established guidelines.


• An individualized longitudinal plan of care is developed in collaboration with the interdisciplinary team, patient, and family, and community providers to maximize quality and cost-effective outcomes while incorporating patient and family goals, expectations, and preferences.


• Education is provided to the patient, family, and the interdisciplinary team regarding community resources and insurance benefits to support the most effective use of these resources to promote maximize and maintain independence.


• Advocacy is provided to meet the comprehensive needs of the patient and family and to promote quality cost effective outcomes.


• Assistance with income replacement, health insurance, transportation, and referrals to appropriate and available community resources is provided.


• Communication and coordination is actively promoted between members of the interdisciplinary team, the payer and the community to minimize fragmentation of services and to maximize outcomes; patient centered team meetings are planned and conducted when indicated.


• Assistance with problem-solving and availability as a resource to the outpatient clinicians is provided.


• Culturally competent care is displayed to identify the patient's cultural needs and incorporate them in the development of the longitudinal plan of care.


• Documentation is completed in adherence to department standards.


• Additional department, organization, or network activities are completed per established objectives.


PCC Organizational Values of Innovation, Collaboration, Accountability, Respect, and Excellence are upheld.



Qualifications - External




Qualifications and Experience



Education/Degree


Required

• Master's degree from an accredited school .

Preferred

Experience


Required


• Case management, utilization review, or discharge planning experience in an acute, rehabilitation, skilled nursing or outpatient setting is required.


Preferred


• 5 years of related pediatric experience is preferred

• • Certification in Case Management is preferred

Licensure


Required

• Current, unrestricted license to practice in Massachusetts in a health or human services discipline that allows the professional to conduct an assessment independently as permitted within the scope of practice of the discipline. Examples are Nursing, Physical Therapy, Occupational Therapy, Speech/Language Pathology, LCSW, Respiratory Therapist or Rehabilitation Counselor.


• LCSW, or LICSW

Preferred



Skills (Specific learned activity gained through training (e.g. computer skills, keyboarding, presentation, CPR, ACLS, etc.)


Required

• Knowledge of community services and the healthcare systems required


• Knowledge of criteria and levels of care is required


• Access to reliable transportation to travel to pediatric outpatient sites across the Spaulding Network as necessary


• Computer proficiency required. Microsoft office applications preferred with ability to learn new software.


• Knowledge of community services and the healthcare system is required.

Preferred

• Highly developed communications and interpersonal skills, working with diverse population.


• Work independently, be self-directed and contribute as a member of a team.


• Anticipates challenges and develops and implements strategies for addressing them.


• High level of service delivery. Demonstrate initiative with ability to prioritize work, meet deadlines and adapt to changing situations.


• Attention to detail


• Bilingual

EEO Statement


SRN is committed to diversity in the workplace which begins with respect and opportunity for all. SRN takes affirmative action to ensure that equal employment opportunity is provided to all persons regardless of race, religious creed, color, national origin, sex, sexual orientation, gender identity, genetic information, age, ancestry, veteran status, disability or any other basis that would be inconsistent with any applicable ordinance or law.



Additional Job Details (if applicable)


Additional Job Description



Remote Type


Hybrid



Work Location


1 Maguire Road



Scheduled Weekly Hours


40



Employee Type


Regular



Work Shift


Day (United States of America)



EEO Statement:


The Spaulding Rehabilitation Hospital Corporation is an Affirmative Action 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.



Mass General Brigham Competency Framework


At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline. Apply Now