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Acute Social Worker - MSW

Minneapolis, United States

Responsibilities/Job Description:
Fairview has an opening for a 1.0 Kidney Transplant Social Worker! This position works with kidney transplant recipient patients across the continuum of care with Fairview. The social worker follows patients outpatient pre and post hospitalization, as well as follows patients during their transplant stay at The University of Minnesota Medical Center. There is an every 6th weekend component working inpatient at The University of Minnesota Medical Center and 1 Holiday per year. The hours are 7:30am-4pm. The social worker completes psychosocial assessments, care planning/ progression and creates comprehensive discharge plans from the hospital. The social worker is patient facing, responds to crisis situations, manages patient and family expectations, creates solutions to identified discharge barriers and aims to reduce length of stay and prevent avoidable hospital readmissions.

Responsibilities
  • Attends daily in person interdisciplinary care team rounds
  • Conducts thorough psychosocial assessments with patients and/ or their surrogate decision makers
  • Helps the care team navigate and mediate complex psychosocial dynamics
  • Is well versed in the surrogate decision maker policy and assists care team members with identifying surrogate decision makers according to the policy
  • Communicates frequently with the interdisciplinary team to ensure continuity and effective coordination of care
  • Provides emotional support and counseling surrounding adjustment to sudden illness, grief/bereavement and end of life planning
  • Addresses social determinants of health and assists with connecting patients to needed resources in the community such as chemical dependency treatment, domestic violence resources, housing stabilization services, mental health services, food shelves, transportation, financial assistance etc.
  • Arranges and facilitates in person care conferences as needed to support patients and their families surrounding navigating complex medical decision-making processes/ goals of care
  • Documents all interactions thoroughly and timely following established department standard work
  • Serves as the expert in system adult and child protection reporting policies
  • Collaborates with patients, families and interdisciplinary teams in developing an individualized discharge plan based on age, social and cultural considerations, clinical diagnoses, level of functioning and other relevant needs
  • Participates in hospital initiatives and projects to reduce length of stay and related barriers which may include collaborating with providers for clinical adjustments in care

Required Qualifications
  • Master of Social Work
  • 1 year Experience working in a healthcare or related setting
  • LGSW Mstrs Deg State of Minnesota Upon Hire
Preferred Qualifications
  • 3 years Experience working in a healthcare or related setting

Qualifications:
$69139.20-$97593.60 Annual

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