INTRODUCTION

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!

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TIME TYPE:

Full time

DEPARTMENT:

PACE Social Services

ALL LOCATIONS:

155 Addison Street

Position Summary:

Join NeighborHealth’s Neighborhood PACE program, where the PACE Social Worker plays an active, engaging role in a model of care designed to help older adults live safely in their communities. As part of a dynamic Interdisciplinary Team (IDT), you will develop individualized plans of care and support participants both at the PACE Center and in their homes. You will address a wide range of needs—including high risk mental health, end of life planning, support with medical decision making, and caregiver support—while conducting psychosocial assessments, creating treatment plans, providing counseling, and collaborating with IDT members, with opportunities to run groups.

Candidates must hold an MSW, be passionate about serving adults 55+, and possess or be working toward LCSW or LICSW licensure in Massachusetts; experience with older adults is preferred.

• Provide clinical social work and case management services for Neighborhood PACE participants.
• Conduct clinical assessments; develop, implement, and update treatment plans within the care plan; and coordinate interventions with providers and the Interdisciplinary Team (IDT) in accordance with Neighborhood PACE policies and procedures.
• Complete intake assessments, including comprehensive psychosocial assessments, and identify factors affecting each participant’s current level of functioning.
• Complete initial assessments and contribute to the plan of care by identifying how PACE services can maintain or improve participant well-being and community functioning.
• Provide caregiver support and facilitate or coordinate family meetings, as appropriate.
• Participate actively on the IDT by presenting initial and biannual assessments; documenting and following up on care plan interventions; and partnering with participants to identify goals of care.
• Develop and lead clinically informed activities (e.g., group counseling, psychotherapy, end-of-life support, resource coordination, intern supervision, or ethics/complex case consultation). Pursue continuing education and apply learning to practice.
• Facilitate hospital, rehabilitation and skilled nursing facility (SNF) admissions, discharges, and care transitions, as determined by the IDT, including coordination for participants requiring psychiatric hospitalization.
• 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.
• Maintains professional, accurate and timely social service documentation in the participants’ medical record.
• Provides timely communication to appropriate staff regarding the following (disenrollment, conversion to long term care, transfer of sites participant and/or caregiver demographic changes).
• Reports allegations of abuse to appropriate state agency; provides support and resources to participant as he/she will accept; completes required documentation.
• Performs other duties as required.
• Frequent local travel.

Education:

MSW with at least one year’s experience in a social work capacity, preferably in a community setting. Possess or is working toward LCSW or LICSW licensure in Massachusetts.

Experience:

Experience in working with the elderly, preferably in an interdisciplinary team setting.

SKILLS/ABILITIES:

Flexibility, initiative, creativity and organizational skills. The ability and willingness to assist outside of traditional roles. Bilingual English-Spanish preferred.

SALARY:

• Starting at $73,500 and up to $104,833 based on licensure level and years of experience.
• Not independently licensed: starting at $73,500 and up to $81,149 based on years of experience.
• Independently licensed: starting at $86,000 and up to $104,833 based on years of experience.

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EEO & Accommodation Statement:

NeighborHealth is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to HRrecruit@NeighborHealth.com or call 617-568-4480 to let us know the nature of your request.

Federal Trade Commission Statement:

According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website. We do not ask or require downloads of any applications, or “apps.” Job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

E-Verify Program Participation Statement:

NeighborHealth participates in the Electronic Employment Verification Program, E-Verify. As an E-Verify employer, all prospective employees must complete a background check before beginning employment.