Responsible for completing psychosocial assessment of patients, for post hospital discharge needs including home care, nursing home placement, financial assistance, counseling, and other community resources. Develops and implements linkage on the health care continuum for complex and high-risk patients. Assists patients and families with short-term counseling and planning following medical crisis.
We are currently seeking LICSW, MSW, LSW professionals for this role.
Conducts patient psychosocial status assessment and communicates to health care team as needed to enhance quality and care
Assists patient/family in utilizing appropriate community resources
Develops relationships with key community programs, referral resources and community members
Acts as a resource for legal issues regarding 72 hour holds, guardianships, petitions for commitment
Acts as a consultant, patient advocate and liaison for patients and families in areas of social work indicators and complex psychosocial issues
Schedules and facilitates family conferences regarding care planning
Provides supportive counseling to assist patients/families in adjusting to disability and illness, and for realistic planning for post hospital care
Consults with referring provider and other team members to ensure quality care as part of a comprehensive treatment plan of care within HealthEast Home care
Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures and standards
Actively participates in creating and implementing improvements
Performs other responsibilities as needed/assigned
Master's degree in Social Work from an accredited school of social work
Either Licensed Graduate Social Worker (LGSW) or Licensed Independent Clinical Social Worker (LICSW) through MN Board of Social Work
1 year of hospital social work experience, 2 years of nursing home experience, or equivalent direct clinical experience required
Knowledge of applicable laws and regulations. Knowledge of community resources
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.