Acute Social Worker-LICSW

Fairview Health Services•Minneapolis, MN

16h•Onsite

About The Position

Fairview is seeking a full-time (1.0 FTE) Heart Transplant/LVAD Social Worker to join our Solid Organ Transplant team. This role provides comprehensive psychosocial care for heart transplant recipients and patients with Left Ventricular Assist Devices (LVADs) across the continuum of care, including outpatient services at the Clinics and Surgery Center in Minneapolis and inpatient care at Fairview – The University Hospital following transplantation. This position is scheduled Monday through Friday, 8:00 a.m. to 4:30 p.m., and includes an every-sixth-weekend rotation and one holiday per calendar year. The acute social worker works on-site with the interdisciplinary teams including providers, physical therapists, nurses, dieticians, chaplains and pharmacists to assist patients and families in navigating through their hospitalization. The acute 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.

Requirements

Master of Social Work
1 year Experience working in a healthcare or related setting
LICSW Masters Degree Clinical or Provisional LICSW State of Minnesota Upon Hire

Nice To Haves

3 years Experience working in a healthcare or related setting

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
Assists with ensuring the hospital is in regulatory compliance for care management related conditions of participation
Assists with efforts to improve patient flow in a high-capacity hospital setting
Works in a fast-paced hospital environment
Effectively re-prioritizes competing time sensitive job demands
Demonstrates the ability to advance evidence-based practice by utilizing standards, guidelines and pathways for care delivery
Incorporates data and information into practice to continually improve care and practice to enhance patient outcomes
Supports site and system quality initiatives
Provide age appropriate short- and long-term therapeutic interventions
If a licensed supervisor, provide clinical supervision as requested (site dependent)
Potential opportunity to facilitate a support group (site dependent)