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Provides clinical psychosocial intervention, including crisis intervention, individual, couples and family counseling, support groups, and short-term bereavement therapy. Coordinates patient care through the continuum, facilitating the achievement of optimal quality outcomes in relation to clinical care and cost-effectiveness. Collaborates with multidisciplinary team of oncologist, APP, Oncology Nurse Navigator, primary infusion RN, surgeons, radiation oncologists, resource navigators and collaterals to achieve optimal patient care from pre-diagnosis through treatment, survivorship and/or end of life. This is for all disease groups.
Job Responsibility:
Provides clinical psychosocial intervention, including crisis intervention, individual, couples and family counseling, support groups, and short-term bereavement therapy
Coordinates patient care through the continuum, facilitating the achievement of optimal quality outcomes in relation to clinical care and cost-effectiveness
Collaborates with multidisciplinary team of oncologist, APP, Oncology Nurse Navigator, primary infusion RN, surgeons, radiation oncologists, resource navigators and collaterals to achieve optimal patient care from pre-diagnosis through treatment, survivorship and/or end of life
Provides for the coordination of services to patients/families in the Cancer Center including connection with internal and external resources
Identifies and addresses high-risk psychosocial factors as well as psychosocial strengths of patients/families/caregivers that impact health status, coping and adjustment
Assumes responsibility for attending to patients with complex psychosocial risk (domestic violence, protective services, frail elderly, disabled, substance abuse, etc.)
Assesses adaptation of families to patients' illnesses, provides crisis intervention, short-term therapy as needed and engage support persons as needed
Provides biopsychosocial assessment and intervention, crisis intervention, coordination of psychosocial services, and consultation, to reduce cancer-related distress and improve quality of life for patients, families, and caregivers across the trajectory of cancer care
Provides social work intervention to assist patients/families
Responsible for evidence-based facilitation or patient and/or family and/or caregiver support programs or groups area
Provides clinical interventions that are focused on cancer-related distress, are evidence based, goal oriented, strengths based, and short-term and episodic in nature to ensure patient equity and accessibility to social work interventions
Provides in-person and/or telehealth services to patients and families/caregivers
Completes appropriate evidence-based assessments including Columbia Suicide Severity Rating Scale, PHQ-9, and GAD-7 for each patient so as to inform appropriate and clinical response
Assumes responsibility/leadership as needed
Assists health care team to integrate psychosocial factors
Provides education/consultation regarding impact of cancer on patients and families/caregivers to community, and provides consultation, education, and program development within the disease-based or service-based team and in collaboration with the interdisciplinary team
Responsible for evidence-based facilitation of patient and/or family and/or caregiver support programs or groups area
Serves as liaison and collaborates with range of community and governmental agencies and resources
Communicate and collaborate with inpatient Palliative Care Team at South Shore Hospital including warm handoffs, intervention assistance, and continuing patient and family support
Demonstrates commitment to continuous improvement by seeking ways of improving care, effectiveness and efficiency within the department and within the organization
Demonstrates flexibility, willingness to innovate, seek new models of care and collaboration
Demonstrates commitment to cultural sensitivity and cultural competence with diverse populations
Responsible for identifying and communicating systemic inequities, their impact on patients, families, caregivers and the community at large and providing recommendations for systemic change
Participates in department meetings and institutional committees
Participates in Supportive Oncology Collaborative meeting weekly with multi-d support team of psychiatry, psychology, palliative care, and social work
Participates in weekly medical oncology rounds for each medical provider so as to collaborate and coordinate care for patients and families
Formulates, coordinates, implements psychosocial component of patient/family care
Initiates and/or participates in interdisciplinary collaboration to implement psychosocial treatment
On call coverage once per week during work hours offering acute interventions for patients who are dysregulated, suicidal, or with other concerning behaviors
Participates in interdepartmental / Institute planning regarding program, policy, procedures
Teaches and supervises social work staff graduate trainees, volunteers
Delivers presentations and seminars to community at large
Participates in psychosocial research
Seeks consultation as needed
Requirements:
Masters Degree in Social Work from accredited program
Current Massachusetts license required
Previous experience in hospital or healthcare setting
LCSW or LICSW - Licensed Clinical Social Worker OR Licensed Independent Clinical Social Worker
Bilingual English / Spanish preferred
Cultural sensitivity and age specific competency required
Crisis intervention, treatment skills
Strong clinical assessment/judgment, including interdisciplinary teaming skills
Excellent communication oral and written
Strong organizational skills and ability to set priorities
tolerance for ambiguity
Analytical skills, computer literacy and keyboarding
Knowledge of interventions for patients with psychosocial needs inclusive of mental health, behavioral health, emotional, relational, and other social needs
Knowledge of various behavioral health interventions related to common issues and needs across the oncology continuum of care
Knowledge of interdisciplinary teamwork and team dynamics, scope of key partnerships and interprofessional roles
Knowledge of social work clinical psychosocial care concepts, practices, and policies with demonstrated ability to use them in varied situations
may require clinical consultation to plan and implement in complex situations
Ability to facilitate understanding and resolution of problems related to patient/family/caregiver interpersonal conflict, mental health and/or substance use concerns or disorders
Ability to provide guidance/ consultation to the team around complex patient management, including ethical issues
may require clinical consultation to plan and implement in complex situations
Ability to facilitate patient and family/caregiver participation in oncology care, with ability to recommend and contribute to team and/or family/caregiver meetings
Ability to make clinical decisions guided by experience, policies, consultation, and evidence-based practice
Ability to actively participate in team meetings related to care planning in the setting of disruptive/challenging patient/family/caregiver/support person behavior
Ability to understand and communicate information to interdisciplinary team, patients, families, caregivers, and community partners (e.g., agencies, professional organizations, etc.)
Ability to be sensitive, responsive to, and advocate for the needs of diverse populations in the setting of serious illness
including but not limited to diversity in gender identity, age, culture, race, religion, socioeconomic status, abilities, and sexual orientation
Ability to adjust to change within a fast-paced working environment
Ability to integrate professional ethical principles (e.g., confidentiality, boundaries) and adhere to relevant professional, departmental, and organizational standards for patient and family care
Ability to write clear and complete biopsychosocial assessments, progress notes, and other forms of documentation in the EMR, keeping with Divisional and Institutional policies
Adheres to Social Work Division practice and administrative standards and policies (e.g., HIPAA, high-risk sign out, scheduling)