Social Worker Post Transplant

• We are seeking a social worker to join our Abdominal Transplant Team in the MGH Transplant Center.
• $3,000 sign-on bonus for LCSW, based upon eligibility (non-MGB)
• $7,000 sign-on bonus for LICSW, based upon eligibility (non-MGB)
• Excellent clinical, collaborative and consultation skills required to offer social work services to patients and families as part of a multidisciplinary team. Responsibilities include assessment, crisis intervention and counseling.
• In addition, participation in Transplant Center activities, selection committee meetings, group facilitation, and program development is necessary.
• Hybrid Schedule, with onsite and virtual/remote schedule possible.

• Provides psychoeducation, clinical services, and relevant community resources that address personal and environmental issues to help optimize patient/family coping and emotional/social/physical well-being after organ transplantation.
• Uses clinical knowledge of psychosocial dynamics and trauma-informed care to conduct psychosocial evaluations when indicated, identify barriers to optimal engagement in post-transplant care, and assist patients/families in developing and implementing treatment goals.
• Provides consultation and education to interdisciplinary staff regarding the social and emotional aspects of patient care, adherence, and treatment. Advises and addresses ethical and risk management concerns.
• Engage in program development such as creating support groups and other initiatives to enhance support and education for patients/families.
• Participates in clinical supervision as appropriate to level of professional development. Encourages an environment of idea sharing and feedback. Seeks opportunities and implements goals for own professional development.

• Delivers professional and thorough social work services, including psychosocial assessment and intervention planning.

• Identifies patients who require social work assessment and intervention through high risk screening, interdisciplinary team meetings and individual referrals.
• Conducts assessments that address bio-psycho-social issues for age, population and health specific needs which results in individualized plans of care.
• Provides support and counseling to patients and families.
• Provides information and assistance for identified financial or social needs.
• Coordinates complex transition plans with patients, families, health care team and community providers.

• Utilizes the electronic medical record to monitor, document and communicate patient progress toward goals and progression of the social work plan.
• Collaborates and communicates with interdisciplinary team anticipating needs to move the plan of care forward.
• Provides support and information to patient and families regarding transition plan.
• Maintains knowledge of government and private payer networks and services to assure appropriate transitions.
• Collaborates with community and health care resources based on need to coordinate care for the patient.
• Advocates for patients and families by supporting patient rights and accessing protective services.

• Demonstrates awareness of patient rights and ethical decision making; provides advocacy to support patient and family.
• Assures appropriate reporting of vulnerability or suspected abuse as mandated by law.
• May participate in care system process that prevent readmissions.

• Plans and participates in transition conferences with patients and families.
• Utilizes tools and technology to identify and intervene with patients who are at risk for readmission.
• Ensures that a complete clinical handoff occurs for at risk patient, which may include referrals.
• May collaborate with the health care team to promote appropriate length of stay.

• Utilizes tools and technology to support appropriate length of stay management.
• Facilitates timely referrals and transfers of information.
• Other duties as assigned.

• Master's of Social Work (MSW) from an accredited school of social work.
• Require current Massachusetts Licensed Independent Clinical Social Worker (LICSW) or Licensed Clinical Social Worker (LCSW), or must obtain MA Licensed Clinical Social Worker (LCSW) within 4 months of hire date.
• Strong assessment and treatment skills.
• Excellent organizational skills.
• Demonstrates ability to communicate effectively orally and in writing.
• Strong interpersonal skills enabling effective collaboration.
• Demonstrates ability to understand the role of social worker in a health care setting and to work independently in a complex, fast-paced environment.

Mass General Brigham