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This position provides a wide range of clinical social work support and interventions across the Fairview system, to assist patients and families as they transition through an episode of care. This position supports patients and families in coping with the consequences of their illness and health care status. This position takes a leadership role in patient care, program and professional issues that they confront in their daily interactions, and supports the transition of patients along the health care continuum.
This is a 1.0 FTE (80 hours per two week pay period), benefits-elgible opening.
This opening will cover the Entira Clinic locations.
Provides a range of clinical social work interventions that include advocacy, casework, counseling, crisis intervention, and care transitions management in assisting patients and families to reach their goals.
Plans and implements interventions and transition planning based upon psychosocial and risk assessments that are integrated into the patients plan of care.
Initiates/implements transition functions and activities for patients, communicating with patients, families and the health care team to ensure seamless transitions. Determine if caregiver training is needed.
Arranges and coordinates a comprehensive range of community resources; maintains up-to-date knowledge regarding resources and current financial information.
Takes a leadership role in facilitation of interdisciplinary communication, guiding interdisciplinary team member interactions with patient/families experiencing complex psychosocial issues.
Identifies and initiates appropriate system change to enhance patient and family satisfaction.
Effectively communicate transition plans across the continuum of care.
Partners with inpatient/outpatient care team on patient care issues.
Takes leadership in revising or restructuring program or service standards as needs change..
Acts as social work consultant to various levels of consultees to problem-solve complex patient care situation.Mentors internal members of the health care team on care transitions concepts. Facilitates integration of concepts into daily practice.
Understands and focuses on key performance indicators. Actively tracks outcome and participates in quality planning
Bachelors Degree in Social Work
Current MN Social Worker Licensure (MN Board of Social Work)
Three years prior experience in a health care setting
Prior experience with Epic EMR
One or more years' prior acute care experience
Prior experiencewith behavioral and chemical dependency work preferred
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.