Fairview Home Care and Hospice is looking for a Social Worker-MSW for the Metro area. This is a casual day position requiring a weekend rotation.
Within the scope of practice, the Social Worker assists hospice patients and their families in maximizing the utilization of health care and community resources in order to support the patient at home or in an alternative living situation. The Social Worker is responsible to identify and create action plans to meet the social, psychosocial, environmental and/or discharge planning needs of patients and families.
Performs psychosocial assessment on patients to determine psychosocial and discharge planning needs.
Assesses family/social support.
Works with other interdisciplinary team members to assess patient's functional capacity, need for community services or placement to meet identified care needs.
Assesses cognitive and coping abilities of patient/caregivers and ability to carry out plan.
Analyzes assessment and medical data to prioritize needs and determine priority problem(s).
Documents assessments and interventions on interdisciplinary care plan and medical record.
Obtains input from patient and family caregivers regarding their needs and desires.
Assures that assessments, interventions and teaching plans reflect the developmental level needs of patient/family.
Attends interdisciplinary team meetings and collaborates regularly with team.
Arranges and mobilizes a range of community resources to meet identified patient/family needs.
Formulates plan, communicates and educates patient/caregivers and referral sources about plan details to assure common understanding and agreement with plan; evaluates effectiveness of learning.
Modifies plan based on patient's evolving needs and wishes.
Collaborates with agencies and case managers already involved in patient's care.
Documents evolving assessments and plans.
Facilitates case management, crisis intervention, problem solving, supportive counseling, group work, psychoeducation, information and referral services, and abuse reporting as appropriate.
Identifies rapidly changing situations and intervenes to prevent or resolve a crisis, increased length of hospital stay or unnecessary hospital admission.
Identifies mental health issues and refers to appropriate provider for intervention and follow-up.
Provides information and referral to community members and ambulatory care settings and maintains community resource file.
Advocates for individual patients, families and patient groups from social work theory and practice perspectives.
Educates health care team members regarding social work role.
Educates health care team members and community on pertinent patient care issues, community resources, financial impact issues, patient rights and population specific information.
Seeks to advance the field of social work
Provide consultation to patient, families and referral sources regarding programmatic and payer information.
Assist clients and families in utilizing resources to support the client at home or to move into an alternative living situation.
Masters degree in Social Work
One year recent post-educational social work experience in health care setting.
Computer skills: able to document effectively in EMR.
Current Minnesota Social Work licensure at the LGSW, LISW or LICSW level
Two years or more years of recent social work experience in hospice, homecare, hospital, or related health care setting.
Valid Minnesota drivers license (or license that matches your current permanent residence)
Together with the University of Minnesota and University of Minnesota Physicians we have created M Health Fairview. M Health Fairview is the newly expanded collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The healthcare system combines the best of academic and community medicine — expanding access to world-class, breakthrough care through our 10 hospitals and 60 clinics.Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Fairview is one of the most comprehensive and geographically accessible systems in the state, with 10 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area.Its broad continuum also includes 60 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider network and health insurer PreferredOne. In partnership with the University of Minnesota, ...Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.