Licensed Clinical Social Worker (LCSW)

MFM Health • Danvers, MA

23h • $75 - $92

About The Position

MFM Health is seeking a compassionate, proactive, and resourceful Social Worker to join our integrated Primary Care team. In this role, you will work collaboratively with our Nurse Care Manager and medical providers to support high-risk patients by addressing social determinants of health, facilitating care coordination, and enhancing patient outcomes through resource navigation and outreach.
What We Offer:
Enhanced Benefits Package: Enjoy a comprehensive benefits package that includes discretionary paid time off to ensure a healthy work-life balance and a 401(k) plan with employer match.
Professional Growth Environment: At MFM Health, we are committed to your professional development. We offer continuous opportunities for learning and career advancement in a supportive and collaborative environment.

Requirements

• Master’s Degree in Social Work (MSW) from an accredited institution; LCSW or equivalent state licensure preferred.
• Minimum of 2 years of experience in a healthcare, primary care, or community-based setting.
• Strong understanding of social determinants of health and experience with vulnerable or high-risk populations.
• Knowledge of local community resources and social service agencies.
• Excellent communication, organizational, and interpersonal skills.
• Ability to work both independently and collaboratively in a fast-paced, team-based environment.
• Proficiency with electronic health records and case management tools.

Nice To Haves

• Experience working in a primary care or interdisciplinary care team setting.
• Familiarity with motivational interviewing or trauma-informed care approaches.
• Familiarity with community resources, elder services, and housing assistance.

Responsibilities

• Assess and address social determinants of health impacting patients’ well-being, such as housing instability, food insecurity, transportation, financial stress, and access to care.
• Connect patients and families with appropriate community resources including public assistance programs, support groups, housing services, and behavioral health services.
• Conduct post-discharge outreach to patients recently released from hospital or inpatient care to ensure continuity of care and successful transitions.
• Provide emotional and practical support to patients and families facing significant life changes, including chronic illness, disability, aging, or caregiver burden.
• Support resource navigation by helping patients understand and access complex systems including insurance, public programs, and social services.
• Assist with care coordination by collaborating with the Nurse Care Manager and providers to ensure timely implementation of specialty referrals and follow-up care.
• Bridge the gap between medical and social care, ensuring that care plans are responsive to both clinical needs and social realities.
• Maintain accurate documentation in the electronic health record (EHR) and participate in team-based care meetings.

Benefits

• Enhanced Benefits Package: Enjoy a comprehensive benefits package that includes discretionary paid time off to ensure a healthy work-life balance and a 401(k) plan with employer match.
• Professional Growth Environment: At MFM Health, we are committed to your professional development. We offer continuous opportunities for learning and career advancement in a supportive and collaborative environment.
• excellent benefits
• top-notch training
• vibrant work environment

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level