Integrated Behavioral Health Medical Social Worker

Baystate Health; Springfield (MA); On-site; USD 66,000 - 97,000; Full time

Job summary

Baystate Health seeks an Integrated Behavioral Health Medical Social Worker- Baystate Medical Center to join the ambulatory social work team. The SW-I will address psychosocial and behavioral health needs, guiding patients and families to resources to improve continuity of care and outcomes.

This full‑time role supports Monday–Friday scheduling, with a focus on collaborative care within a multidisciplinary team and documentation in the EMR to ensure coordinated services across the care continuum.

Qualifications

• MSW degree required; licensure encouraged within six months of eligibility.
• Minimum one year in health care or social services; internship in health care may be considered.
• Spanish/bilingual skills optional.
• Knowledge of community services and programs; strong communication skills.

Responsibilities

• 1) Perform social work assessment and counseling with referrals to housing, education, welfare and other services.
• 2) Assess patient/family support, economic status and access to resources; report abuse risks as needed.
• 3) Conduct interviews to identify psychosocial issues and coping needs.
• 4) Coordinate input to formulate a documented plan of care for continuity.
• 5) Provide clinical consultation on psychosocial and care barriers within the team.
• 6) Support department mission and Baystate standards in daily operations.
• 7) Leverage care networks; coordinate with inpatient social workers for smooth transitions.
• 8) Plan and coordinate patient care conferences with follow-up interventions.
• 9) Enter data into EMR; maintain records; refer to domestic violence resources when appropriate.

Skills

Community resources

Communication skills

Independent work

Team collaboration

Computer skills

EMR documentation

Education

MSW degree

LCSW licensure

Job description

Integrated Behavioral Health Medical Social Worker- Baystate Medical Center

Baystate Health Careers

Department: Social Work

Location: Baystate Medical Center

Make an Impact with Baystate Health

Schedule Details

• Job Type: Full time
• Hours: Monday - Friday 8-4:30 or 8:30-5
• Schedule: Days

Summary:

The Social Worker I – Ambulatory (“SW-I”) As an integral member of the multidisciplinary care team that provides services based on the unique needs of each patient, the SW-I is responsible for addressing the psychosocial and behavioral health issues that arise in the ambulatory practice setting. Through a range of focused social work interventions and practices, the role is designed to guide and assist patients, families, physicians, nurses and other members of the health care team to work through an identified problem, to positively affect the patient’s continuity of care, and to reach optimal outcomes.

Job Responsibilities:

1) Provides Social Work assessment and counseling skills and refers patients to resources such as home-based services, educational support, housing, advocacy, welfare assistance, and other services. Demonstrates skilled assessment and knowledge about human behavior and theory including the psychosocial adjustment to illness and treatment impacting a patient as it relates to age‑specific needs, stages of growth and development and coping with illness and other life stressors.

2) As part of the assessment, evaluates the patient and family’s support system, economic status, and any immediate needs in order to help patients and families access community resources for mental health, financial (entitlement programs), housing, insurance, and transportation services. Assesses the risk of abuse/neglect for children, disabled adults and/or elders as appropriate. File reports with appropriate agencies as needed Works as a responsible advocate for the patient’s and family’s concrete needs and services. Serves as a liaison with community resources on behalf of the patient.

3) Conducts interviews with patients and their families/support persons to assess and identify issues and help patients and families adjust to their situations through a range of focused social work interventions.

4) Coordinates input from all health care professionals, patient and family members to formulate a documented plan of care assuring continuity of care on a daily basis.

5) Provides clinical consultation as an active member of the interdisciplinary care team regarding psychosocial issues, bio‑ethical issues, barriers to care and other issues affecting patients and their families.

6) Supports the mission and philosophy of the department as well as the Operating and Service Standards of Baystate Health.

7) Utilizes the dynamics of the health care delivery network to foster the best use of resources, effective service delivery, and patient and family satisfaction. Coordinates with inpatient social workers as needed

8) Plans and coordinates patient care conferences including follow‑up interventions between the medical team and family as needed.

1. Enters data and information into the electronic medical record and other electronic systems in order to maintain accurate clinical records for patients and ensure an integrated approach to care. Prepares reports timely, maintains accurate records for legal action. Refers patients to appropriate community resources including domestic violence referrals. Works in partnership with the care team coordinating referrals and follows‑up on care coordination to assure timely interactions and access of services.

2. Develops and maintains working relationships with community agencies. Attends meetings with other members of the health care team, and networks in the community to enhance the care coordination of patients, locally and statewide. Disseminates meeting minutes and updates leadership, staff, and the team regarding information and changes.

3. Demonstrates a positive attitude and professional work behaviors while serving as an advocate and role model on behalf of Baystate Health. Exemplifies the values, ethics and specialized skill base of the Social Work Profession, and contributes these to the interdisciplinary care of patients.

4. Performs other job‑related duties as assigned by the Practice/Department Manager or Senior Leadership and in cooperation with BH Case Management/Social Services departments.

5. Seeks consultation and supervision from LICSW colleagues as needed and appropriate.

6. (additional items may be customized for the position’s assigned practice/department).

Required Work Experience:

Minimum one year as a practicing social worker in a health care or social service setting required. Equivalent experience in a Master’s level health care setting internship may be considered.

Preferred Work Experience:

Equivalent experience within an Ambulatory health care setting; internship experience will be considered. Spanish, Bilingual language skills are optional.

Skills and Competencies:

Knowledge of local community services, local community resources, state, and federal programs that provide medical care and financial support to children and families. Ability to work independently and amicably in group situations. Demonstrated ability to be a team player. Excellent verbal and written communication skills in English. Ability to work with diverse patient and staff populations. Proficient in basic computer skills and Microsoft Office. Ability to navigate and document in clinical computerized patient care records.

LCSW (obtained within 6 months of eligibility for new hires post‑internship)

Education:

Masters Degree (Required)

Certifications:

Licensed Masters Social Worker - OtherOther

Compensation

Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate’s relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non‑exempt employees and based on assumed full time commitment for exempt employees.

Minimum - Midpoint - Maximum

$66,081.00 - $79,040.00 - $97,115.00

Equal Employment Opportunity Employer

Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.