Social Worker

Allina Health

11d • $31 - $50

About The Position

The Social Worker provides psychosocial support to patients and families coping with chronic, acute, or terminal illnesses. Services include advising family caregivers, providing patient education and counseling, making referrals, and potentially providing care and case management or interventions to promote health, prevent disease, and address barriers to healthcare access. This role is part of the Home Care department and supports the SW Home Health Region.

Requirements

• Bachelor's degree in Social Work.
• Licensed Social Worker certification from the Minnesota Board of Social Work.
• Licensed Social Worker certification from the Wisconsin Department of Safety and Professional Services if working in Wisconsin or interacting remotely with Wisconsin patients; both state licenses may be required depending on services provided.
• Valid driver's license upon hire. Minnesota and Wisconsin residents must obtain a valid driver's license in their state of residence within 60 days for applicable Home Care, Palliative Care Community, Senior Health CoCare, and System Complex Care Management positions.

Nice To Haves

• Master's degree in Social Work.
• Experience in an acute care setting.
• Two or more years of social work experience.

Responsibilities

• Deliver professional social work services, including psychosocial assessment and intervention planning.
• Identify patients who need social work assessment or intervention through high-risk screening, interdisciplinary team meetings, and referrals.
• Assess biopsychosocial issues and age-, population-, and health-specific needs to develop individualized plans of care.
• Provide support and counseling to patients and families.
• Provide information and assistance for identified financial or social needs.
• Coordinate complex transition plans with patients, families, the healthcare team, and community providers.
• Use the electronic medical record to monitor, document, and communicate patient progress and the social work plan.
• Collaborate and communicate with the interdisciplinary team to anticipate needs and advance the plan of care.
• Provide patients and families with support and information regarding transition plans.
• Maintain knowledge of government and private payer networks and services to support appropriate transitions.
• Coordinate care with community and healthcare resources based on patient needs.
• Advocate for patients and families, support patient rights, and assist with access to protective services.
• Apply awareness of patient rights and ethical decision-making, and provide patient and family advocacy.
• Ensure appropriate reporting of vulnerability or suspected abuse as required by law.
• May participate in care-system processes to prevent readmissions.
• Plan and participate in transition conferences with patients and families.
• Use tools and technology to identify and intervene with patients at risk for readmission.
• Ensure complete clinical handoffs for at-risk patients, which may include referrals.
• May collaborate with the healthcare team to promote appropriate length of stay.
• Use tools and technology to support appropriate length-of-stay management.
• Facilitate timely referrals and transfers of information.
• Perform other duties as assigned.

Benefits

• Medical and dental coverage.
• Paid time off and time away.
• Retirement savings plans.
• Life insurance.
• Short-term and long-term disability coverage.
• Voluntary benefits, including vision, legal, and critical illness coverage.
• Tuition reimbursement or continuing medical education, as applicable.
• Student loan support benefits to help navigate the Federal Public Service Loan Forgiveness Program.
• Well-being program resources, including well-being dollars, dedicated well-being navigators, programs, activities, personal coaching, and tools.

What This Job Offers

• Job Type: Full-time