Social Worker

Allina Health

6d•$31 - $50•Hybrid

About The Position

Allina Health is seeking a Social Worker to join their Care Management Disease Management team. This role is crucial in meeting patients' needs and ensuring a smooth healthcare experience. The Social Worker will provide psychosocial support to patients and families coping with chronic, acute, or terminal illnesses. Services include advising family caregivers, patient education and counseling, making referrals, and potentially care and case management to promote health, prevent disease, and address healthcare access barriers. The position is 0.5 FTE (20 hours per week) with 8-hour day shifts and no weekends. Occasional travel to Allina Commons may be required.

Requirements

Bachelor's degree in Social Work
Licensed Social Worker - MN Board of Social Work required
Licensed Social Worker - WI Dept of Safety & Professional Services required (if working in Wisconsin or interacting with Wisconsin patients remotely)
May require both state licenses based on the services provided in the department
Valid Driver’s License required upon hire - MN and WI residents must obtain a valid driver’s license in their state of residence within 60 days of employment for positions in for Home Care, Palliative Care Community, Senior Care and System ACT Advanced Care

Nice To Haves

Master's degree in Social Work
Experience in an acute care setting
2+ years social work experience

Responsibilities

Delivers professional and thorough social work services, including psychosocial assessment and intervention planning.
Identifies patients who require social work assessment and intervention through high risk screening, interdisciplinary team meetings and individual referrals.
Conducts assessments that address bio-psycho-social issues for age, population and health specific needs which results in individualized plans of care.
Provides support and counseling to patients and families.
Provides information and assistance for identified financial or social needs.
Coordinates complex transition plans with patients, families, health care team and community providers.
Utilizes the electronic medical record to monitor, document and communicate patient progress toward goals and progression of the social work plan.
Collaborates and communicates with interdisciplinary team anticipating needs to move the plan of care forward.
Provides support and information to patient and families regarding transition plan.
Maintains knowledge of government and private payer networks and services to assure appropriate transitions.
Collaborates with community and health care resources based on need to coordinate care for the patient.
Advocates for patients and families by supporting patient rights and accessing protective services.
Demonstrates awareness of patient rights and ethical decision making; provides advocacy to support patient and family.
Assures appropriate reporting of vulnerability or suspected abuse as mandated by law.
May participate in care system process that prevent readmissions.
Plans and participates in transition conferences with patients and families.
Utilizes tools and technology to identify and intervene with patients who are at risk for readmission.
Ensures that a complete clinical handoff occurs for at risk patient, which may include referrals.
May collaborate with the health care team to promote appropriate length of stay.
Utilizes tools and technology to support appropriate length of stay management.
Facilitates timely referrals and transfers of information.
Other duties as assigned.