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Working as part of a collaborative care team with the residents attending physicians and nurses in the Acute Psychiatry Service (APS) the primary responsibility of this Clinical Care Coordinator is to facilitate referrals for psychiatric patients in the ED to psychiatric hospitals and inpatient substance abuse treatment centers. Receiving general direction from the APS physicians this position will work to receive prior authorizations from third party payers in order to assure a seamless and timely transition of these patients out of the APS and into an appropriate next level of care. The clinical social worker may also provide services to mental health patients in the APS that address emergent psychosocial issues in order to maximize the effective/efficient use of the APS and healthcare resources.This position includes phone/fax contact with other mental health facilities preparing information to fax copying portions of the medical record scheduling intake appointments for patients. Additionally this includes arranging outpatient followup appointments for patients being discharged which may include obtaining new psychiatry and therapy appointments obtaining new PCP or medical/surgical appointments and documenting appointments in the CAS system.
The bedfinding process involves: 1 contacting the patients insurance to ascertain contracted facilities and to get priorapproval and 2 contacting psychiatric hospitals (or other resources) for bed availability and to relay clinical patient information and needs. In cases where placement may not be necessary the Clinical Care Coordinator finds and refers patients to appropriate community resources.
Position requires an understanding of patients mental health benefits and third party payer prior approval requirements.
Employs a range of clinical interventions which may include care coordination/case management crisis intervention complementary therapies information and referral and safety planning.
Advocates on behalf of patients and their families to gain access to services and resources.
Provides psychosocial consultation on patientcare planning and patient/family management.
Facilitates the appropriate and efficient use of hospital and community resources.
Performs other duties as assigned.
Collaboration:
Collaborates and consults with patient families professionals and providers inside and outside the hospital to develop and implement preadmission inpatient post hospital and outpatient care.
Refers to and collaborates with interdepartmental specialists and programs outside agencies (including BEST team) facilities payors and other relevant community resources.
Organizational/Administrative Skills:
Takes responsibility for own administrative duties including timely and appropriate documentation inpatient medical records timely and accurate reporting of Boston Emergency Service Team (BEST) activities via the BEST database and updating appropriate Clinical Resource Specialist calendars schedules and resources pages on Sharepoint.
Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills perspectives and ideas we choose to lead. Applications fromprotected veterans and individuals with disabilities are strongly encouragedMSW/ LCSW required; LICSW preferred
Excellent organizational skills
Demonstrates ability to communicate effectively orally and in writing
Strong interpersonal skills enabling effective team collaboration
Demonstrated ability to understand the role of social worker in a hospital setting
Ability to work in a complex fastpaced environment
Knowledge of specific medical/psychiatric illnesses procedures and treatments related medications (i.e. psychotrophic chemotherapy etc. acuity versus chronicity effect on normal growth and development.
Advanced crisis intervention/treatment/management skills preferred
Demonstrated competency in age specific behaviors; cultural issues; effect of illness as well as family member illness on agerelated development
Knowledge of community agencies/resources.
Ability to advocate/negotiate systems for/with patients
Documents in medical record according to departmental policies and procedures
Maintains patient/family confidentiality
Ability to multitask
Knowledge of computers and strong customer service skills are required.
Works effectively as part of a collaborative and interdisciplinary mental health care team to help formulate assessment disposition and treatment planning.
Professional Conduct:
Adheres to the professions clinical standards and Code of Ethics.
Adheres to the Department and Hospital standards policies and procedures.
Attends pertinent continuing education and professional activities related to job responsibilities and career goals.
Keeps current with social work and health care developments pertinent to job and profession.
Achieves licensure at LICSW level when eligible.
Complies with licensure requirements.
Position is an evening shift position 4PM 12AM) located in the Acute Psychiatry Service in MGHs Emergency Department.
Required Experience:
IC
Full-Time