LCSW- Care Management

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.Job Description:Licensed Independent Clinical Social Worker (LICSW)Lifestyle Management, Weight Management, Cardiopulmonary Rehabilitation, and Diabetes ServicesThe Licensed Independent Clinical Social Worker (LICSW) is a key member of the multidisciplinary care team, providing behavioral health services and psychosocial support to patients participating in Lifestyle Management, Weight Management, Cardiopulmonary Rehabilitation, and Diabetes programs. The LICSW promotes whole-person care by addressing emotional, psychological, behavioral, and social factors that affect health outcomes, self-management, and quality of life.Working collaboratively with physicians, advanced practice providers, nurses, registered dietitians, exercise physiologists, pharmacists, and other healthcare professionals, the LICSW assists patients in overcoming barriers to lifestyle change, chronic disease management, and treatment adherence.Essential ResponsibilitiesClinical Assessment & InterventionConduct comprehensive psychosocial assessments to identify behavioral, emotional, environmental, and social determinants impacting health.Evaluate patients for depression, anxiety, adjustment disorders, stress, substance use concerns, and other psychosocial issues affecting treatment participation.Develop individualized care plans that support patient goals and improve self-management skills.Provide short-term counseling utilizing evidence-based interventions, including:Motivational Interviewing (MI)Cognitive Behavioral Therapy (CBT) techniquesSolution-Focused TherapyBehavioral activation and coping strategiesStress management and resilience trainingWeight Management & Lifestyle MedicineSupport patients pursuing weight loss and sustainable lifestyle changes.Address emotional eating, binge eating behaviors, body image concerns, and barriers to behavior change.Facilitate goal setting and behavior modification strategies to improve adherence to nutrition, exercise, and wellness plans.Collaborate with providers to promote long-term weight management success.Cardiopulmonary RehabilitationProvide psychosocial support to patients with cardiac and pulmonary disease participating in rehabilitation programs.Assist patients in adjusting to new diagnoses, chronic illness, disability, and lifestyle changes following cardiac or pulmonary events.Screen for depression, anxiety, and emotional distress associated with chronic cardiopulmonary conditions.Facilitate support groups and educational sessions focused on coping skills and self-management. Consistent with program descriptions, LICSW support is integrated into cardiac and pulmonary rehabilitation services.Diabetes Care & Chronic Disease ManagementAssist individuals living with diabetes in managing the psychological and behavioral aspects of chronic disease.Address diabetes distress, treatment fatigue, self-management challenges, and health literacy barriers.Collaborate with diabetes educators, dietitians, pharmacists, and providers to improve treatment adherence and health outcomes.Connect patients with community resources and support services that promote disease management and healthy living.Care Coordination & Resource ManagementIdentify social determinants of health affecting patient outcomes, including:Financial concernsFood insecurityTransportation barriersHousing instabilityCaregiver stressFacilitate referrals to behavioral health providers, community agencies, support groups, and social service organizations.Coordinate care transitions and ensure continuity of services across care settings.Group Facilitation & Patient EducationDevelop and facilitate educational and support groups for patients and families.Lead discussions on:Behavior changeCoping with chronic illnessStress reductionWeight managementEmotional wellnessMotivation and goal achievementParticipate in multidisciplinary patient education initiatives.QualificationsRequiredMaster's Degree in Social Work (MSW) from an accredited program.Current Massachusetts Licensed Independent Clinical Social Worker (LICSW) license.Minimum of 3 years of clinical social work experience.Experience providing counseling and behavioral health interventions.Knowledge of chronic disease management and behavioral change principles.Reporting StructureReports to the Director of Ambulatory Operations or designated clinical leader and works collaboratively with multidisciplinary teams supporting Weight Management, Diabetes Care, and Cardiopulmonary Rehabilitation programs.Pay Range:$35.00 - $47.11The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.Equal Opportunity Employer/Veterans/DisabledEmployment: Per DiemShift: DayCategory: Behavioral HealthPay Range: $35.00 - $47.11FLSA: Non-ExemptReq ID: JR100819

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