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Fairview Health Services

Nonprofit health system delivering comprehensive care

Acute Social Worker

Case Management & AdvocacyUpdated on Nov 10
Part-timeBurnsville, MN, USANo salary listed

About the Job

Requirements

  • A Master of Social Work is required.
  • At least 1 year of experience working in a healthcare or related setting is required.
  • Must hold a Minnesota LGSW (Master's degree) or LISW (Master's degree, Advanced Generalist) credential upon hire.
  • Must have previous hospital or nursing home social work experience.
  • Must be available to work at least every fourth weekend and have some weekday availability during standard business hours for required training, onboarding, and appointments before independently working weekend shifts.

Responsibilities

  • Work on-site with interdisciplinary teams, including providers, physical therapists, nurses, dieticians, chaplains, and pharmacists, to help patients and families navigate hospitalization.
  • Complete psychosocial assessments and care planning/progression, and create comprehensive hospital discharge plans.
  • Respond to crisis situations, manage patient and family expectations, address discharge barriers, reduce length of stay, and help prevent avoidable hospital readmissions.
  • Attend daily in-person interdisciplinary care team rounds.
  • Conduct thorough psychosocial assessments with patients or their surrogate decision makers.
  • Help the care team navigate and mediate complex psychosocial dynamics.
  • Apply the surrogate decision maker policy and assist care team members in identifying surrogate decision makers according to the policy.
  • Communicate frequently with the interdisciplinary team to support continuity and effective coordination of care.
  • Provide emotional support and counseling related to adjustment to sudden illness, grief and bereavement, and end-of-life planning.
  • Address social determinants of health and connect patients to community resources, including chemical dependency treatment, domestic violence resources, housing stabilization services, mental health services, food shelves, transportation, and financial assistance.
  • Arrange and facilitate in-person care conferences as needed to support patients and families navigating complex medical decision-making and goals of care.
  • Document all interactions thoroughly and promptly according to established department standard work.
  • Serve as the expert in system adult and child protection reporting policies.
  • Collaborate with patients, families, and interdisciplinary teams to develop individualized discharge plans based on age, social and cultural considerations, clinical diagnoses, level of functioning, and other relevant needs.
  • Participate in hospital initiatives and projects to reduce length of stay and related barriers, which may include collaborating with providers on clinical adjustments in care.

Desired Qualifications

  • Three years of experience working in a healthcare or related setting is preferred.

About the Company

Fairview Health Services

Nonprofit health system delivering comprehensive care

Fairview Health Services is a nonprofit health system in Minnesota offering a wide range of medical services through a network that includes community and academic hospitals, clinics, senior living, home health, rehabilitation, counseling, pharmacies, and benefit management. It operates through the M Health Fairview partnership with the University of Minnesota, linking care with research and training. Patients access care via a unified system across hospitals, clinics, home care, hospice, transportation, and employer solutions. Its goal is to expand access to high-quality, compassionate care by delivering comprehensive services across the care continuum, anchored in community needs.

Company size
10,001+
Company stage
Not listed
Total funding
Not listed
Headquarters
Minneapolis, MN
Founded
1906

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