- Plans and implements treatment and transition care plans based upon a psychosocial assessment that is coordinated into an interdisciplinary care plan.
- Provides a variety of social work interventions that include case management, counseling, crisis intervention, and advocacy in assisting patients and their support network reach their goals. Identifies and recognizes constantly evolving situations and quickly intervenes to prevent or resolve the emotional crisis.
- Arranges, mobilizes, and may coordinate a comprehensive range of community resources which most optimally meet the identified patient needs.
- Takes an active role in facilitation of interdisciplinary communication as it relates to patients experiencing sophisticated psychosocial issues.
- Formally and informally educates patient/family & health care team members regarding the social work role, pertinent patient care issues, and population specific information.
- Serves as a preceptor or field instructor for social work undergraduate training as appropriate to their skills related to a range of psychosocial issues and interventions.
- Serves as patients advocate and liaison with physicians, support network and community to ensure continuity of care.
- Documents psychosocial assessment, progress notes, care plans and discharge/transition plan in the electronic medical record.
- Identifies and participates in Quality Improvement, research and program evaluation initiatives that focus on improving health care services
- Demonstrates knowledge and compliance with MHealth Fairview and Social Work practice, ethics and standards.
- Follows the legal and regulatory law including mandated reporting requirements.
- Bachelor's degree in social work from an accredited social work program.
- Current License Social Worker (LSW) through Minnesota Board of Social Work.
- One-three years experience in a health care setting and proven knowledge of community and economic resources.
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Social Worker - Saint Paul, United States - Fairview Health Services
Description
Overview
The M Health Fairview Care Coordination team has an opening for a Social Work (MSW) Care Coordinator to support patients within M Health Fairview Andover, Brooklyn Park and Bass Lake Clinics.
M Health Fairview offers a competitive benefits package including medical/dental, 401k/403b with employer match, tuition reimbursement, and PTO Click here for benefits details.
This position is a mobile position structured as a hybrid schedule with two days on site and three remote days per week.
Responsibilities/Job Description
The incumbent will provide a wide range of social work services and interventions to assist individuals, their family, groups or communities to restore, improve, or protect their capacity for productive social functioning and coping with their illness and health care status.
The individual is able to work independently and takes a role in patient care, program and professional issues that they confront in their daily practice with minimal supervisory mentorship.
Required
Other Desirable Skills/Traits:
Excellent customer service, public relations and communication skills
Ability to prioritize and work with a fluctuation in workload while working independently
Ability to adapt to change and engage in ongoing process improvement
