This position offers an exciting opportunity to be part of innovative clinical work in the M Health Fairview system providing therapeutic support and management of Custodial Care Patients. A core component of this role includes partnership with the interdisciplinary team, as well as those in connected community agencies (parents, counties, group homes, etc.) This position serves a crucial role in the therapeutic management, support, and discharge of patients boarding for community placement across our system. This is an on site position located on the UMMC West Bank Campus.

Job Expectations:

· Plans and implements treatment and transition care plans based upon a psychosocial assessment that is integrated into an interdisciplinary care plan.

· Provides a range of social work interventions that include case management, counseling, crisis intervention, and advocacy in assisting patients and families reach their goals. Identifies and recognizes rapidly changing situations and quickly intervenes to prevent or resolve the emotional crisis.

· Arranges, mobilizes, utilizes, and may coordinate a comprehensive range of community resources which most effectively meet the identified patient and family needs.

· Takes an active role in facilitation of interdisciplinary communication as it relates to patients and families experiencing complex psychosocial issues.

· Formally and informally educates patient/family and health care team members regarding the social work role, pertinent patient care issues, and population specific information.

· Serves as a preceptor or field instructor for social work undergraduate training as appropriate to their skills related to a range of psychosocial issues and interventions.

· Serves as patient advocate and liaison with physicians, families, and community to ensure continuity of care.

· Documents psychosocial assessment, progress notes, care plans and discharge/transition plan in the electronic medical record.

· Identifies and participates in Quality Improvement, research and program evaluation initiatives that focus on improving health care services

· Demonstrates knowledge and compliance with MHealth Fairview and Social Work practice, ethics, and standards.

· Complies with the legal and regulatory law including mandated reporting requirements.

Required

Education

· Master’s degree in social work from an Accredited Social Work Program.

Experience

· One year experience in a health care setting.

License/Certification/Registration

· Current License Social Worker (LSW) through Minnesota Board of Social Work

Preferred

Experience

· One to three years’ experience in a health care setting demonstrated knowledge of community and economic resources.