Acute Social Worker - BSW

Fairview Health Services•Minneapolis, MN

1d•Onsite

About The Position

Fairview is seeking a BSW Social Worker to join the team at the University of Minnesota Medical Center – East Bank in Minneapolis, Minnesota. This casual position requires two weekend shifts per month and one holiday per year. Initial orientation includes several onsite weekday sessions. The acute social worker works on-site with interdisciplinary teams, including providers, physical therapists, nurses, dieticians, chaplains, and pharmacists, to help patients and families navigate hospitalization. The role includes conducting psychosocial assessments, supporting care planning and progression, and developing comprehensive hospital discharge plans. The social worker works directly with patients, responds to crises, manages patient and family expectations, addresses discharge barriers, and helps reduce length of stay and prevent avoidable readmissions. The ideal candidate has experience in hospital discharge planning, transitional care, home care, or insurance case management and is compassionate, organized, and collaborative.

Requirements

Bachelor's degree in social work (B.S./B.A.).
Less than one year of experience working in a healthcare or related setting.
Minnesota social work license upon hire.

Nice To Haves

Three years of experience working in a healthcare or related setting.
Previous experience in hospital discharge planning, transitional care, home care, or insurance case management.

Responsibilities

Attend daily in-person interdisciplinary care team rounds.
Conduct thorough psychosocial assessments with patients and/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 related to adjustment to sudden illness, grief and bereavement, and end-of-life planning.
Address social determinants of health and connect patients with 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 decisions and goals of care.
Document interactions thoroughly and promptly in accordance with department standard work.
Serve as an 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 address related barriers, which may include collaborating with providers on clinical adjustments in care.