CATCH Social Worker, LICSW

Benefits

Additional Information

Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center! As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly - every role at NeighborHealth is vital. Together, we're advancing medicine and delivering the best care experience for our patients and community! Interested in this position? Apply online and create a personal candidate account! Current Employees of NeighborHealth - Please use our internal careers portal to apply for positions. To learn more about working at NeighborHealth and our benefits, please visit out our Careers Page . Time Type: Full time Department: Pediatrics All Locations: 10 Gove Street - Taylor Building Position Summary: Responsible for providing individual and group clinical support and case management services for CATCH program patients. CATCH is NeighborHealth's care coordination program for medically complex children. The CATCH Social Worker (SW) is an integral member of CATCH team. In this capacity, the SW conducts clinical assessments, formulates treatment plans which are updated in the medical record; coordinates interventions with other providers and members of CATCH team to support participants' mental health consistent with NeighborHealth policies and procedures. CATCH SW reports directly to the Director of Pediatric Complex Care with clinical oversight by Behavioral Health Department Leadership. CATCH SW participates in NeighborHealth Behavioral Health Department activities that support clinical excellence. What You'll Do Intake and enrollment of new participants Demonstrates knowledge of NeighborHealth CATCH program and is available as a resource to potential participants and family members. Measured through clinical supervision. Able to administer a complete family centered psychosocial assessment and identify factors that impact upon the participant's current level of functioning. Completes initial assessments and contributes to the plan of care by assisting the patient and family to articulate their care priorities and goals for the patient. Articulates partnership between CATCH, participant and family. Ability to address the families' role in care for person with disability. Responds appropriately and initiates access to the utilization of concrete services i.e. SSI, housing, food stamps, money management etc. Case Management Serves the role of participant and family advocate by clarifying and representing the participant's voice and perspective to the team and other community providers. Evidenced by active participation in all clinical meetings. Coordinates, and demonstrates a leadership role in family meetings evidenced by the ability to restate important themes and articulate conclusions or next steps. Shows flexibility in scheduling, modality and setting when performing initial and periodic assessments. Evidenced through use of home visits when indicated. Provides education to patient and family about their rights as patients, navigating health care systems, and empowers patients and families as self advocates. Initiates and refers participants and families to appropriate community agencies. Demonstrates an understanding and ability to utilize outside resources. Participates in MassHealth's CARES (Coordinating Aligned, Relationship-centered, Enhanced Support) program enrollment process, identifies goals of care and participates in CARES team meetings. Coordinates transition from pediatric to adult primary care for patients as they age out of CATCH. Supports families and patients through transition to adult care and refers patients to appropriate community resources. Supports families through guardianship process, including explanation of guardianship, patient assessment, completing applications, communicating with other providers, schools, and psychologists to complete guardianship documents. Coordinates and assists patients with transition from Early Intervention (EI) to public school, guiding families through school registration and special education evaluations. Communicates with EI and school staff. Annual outreach to patients ages 2-4 who are eligible for school evaluations, and ages 17-18 who may need guardianship. Leads parent and patient advisory council, coordinates meetings, and parent/patient engagement opportunities. Address behavioral health needs of CATCH patients. Ability to provide psychotherapy, family therapy, supportive counseling, and psycho-education to participants and their caregivers. Demonstrates an ability to conduct and present findings in the use of assessment tools. Facilitates groups, for example: parents of newly diagnosed patients with ASD (autism spectru