Social Worker

Fairview Range•Grand Rapids, MN

About The Position

Grand Itasca Clinic & Hospital, a part of Fairview Health Services, is currently seeking a dedicated Clinic Social Worker to join our team! A management team that takes a personal interest in every employee is one of the many advantages you'll find here at Grand Itasca Clinic & Hospital. POSITION: Clinic Social Worker EMPLOYMENT TYPE: Casual - (on an as-needed basis) WORK SCHEDULE: Days DEPARTMENT: Clinic Care Coordination & Case Management/Social Services JOIN OUR TEAM: Nestled in the heart of the Northland, Grand Itasca Clinic & Hospital is the dominant provider of primary care services in the local and surrounding area to include roughly 50,000 people. We're a non-profit organization with a clear vision of being the leader in transforming rural health care by achieving the highest levels of quality, access, and value. Our strength stems from teamwork and collaboration among a talented and diverse group of professionals. With over 600 employees in hundreds of different roles, Grand Itasca can offer a variety of career opportunities. JOB SUMMARY: Provide leadership and professional social services to patients and families receiving care and/or services at Grand Itasca Clinic and Hospital. Organize health care services to promote optimal outcomes for individuals utilizing resources, payor sources and clinical data. Assist in meeting the psychosocial needs of patients and to utilize medical care in order to achieve their optimal level of health. The social worker will serve as a patient advocate and coordinator of patient care. They will assist in the identification and utilization of internal and external referral sources to augment or meet patient needs. Services provided will be in accordance with current federal, state, and local standards. Social Services will promote utilization of health care resources and provide a leadership role at Grand Itasca Clinic and Hospital.

Requirements

Master's degree in Social Work, preferred.
Current licensure in State of Minnesota through the MN Board of Social Work.
Previous experience working in acute and/or primary care clinic preferred.
Demonstrated effectiveness in leadership role with ability to elevate the support of subordinates and peers.
Demonstrates respectful and effective communication skills with patients, families, providers, and staff.
Knowledge of and active participation in the PI process.
Demonstrated ability to effectively problem solve in difficult situations.
Ability to facilitate admission and discharge planning with the interdisciplinary teams, patient, and family.
Demonstrated and consistent ability to follow the NASW Code of Ethics.
Demonstrated ability to follow and adhere to Grand Itasca Clinic and Hospital policies, vision, mission and values.
Maintains reliable and consistent attendance.

Responsibilities

Provide direct social work services to patients and their families and/or groups of patients through counseling, planning and coordination of services and community resources.
Social and practical environmental problems including identification of those needing financial assistance, and either assisting or referring to the patient liaison, seeking financial aid, securing a homemaker, arranging for home care, discharge planning including collaboration with community agencies, and referrals to other community agencies for specialized help.
Determines social assessments of total patient needs.
Determines the patient's social, psychological, financial, cultural and family situation.
Obtains resources from community social, health and welfare agencies.
Provides consultation to members of clinic and hospital staff, community agencies, and other persons or groups seeking guidance in efforts to solve the problems of patients.
Participates as a member of the health care team for the purposes of care planning and delivery.
Advocates for the patient.
Monitors and reports any and all vulnerable adult or abuse/neglect concerns to the appropriate agency and assists in the investigative phase as necessary.
Works in conjunction with Utilization review staff to ensure patients' needs and criteria are planned for and met.
Participates in care conferences with providers, patients and families.
Completes mental health assessments and crisis evaluations upon request.
Assists with Advanced Directives as needed.
Responsible for the complete orientation and maintenance of records of all staff, along with any mandatory education.
The Case Manager/Social Worker conducts visits and phone calls to referral sources, provides education about services to providers, social workers, discharge planners, insurance companies, case managers, and rehabilitation case managers to expedite patient referrals and coordinates clinical information with external case managers and payor sources.
Identifies social and practical environmental problems, including seeking financial aid, securing a homemaker, arranging for home care; discharge planning, including collaboration with community agencies; and referrals to other community agencies for specialized help.
Responsible for the identification, procurement, and coordination of services and resources for care of the patient across the organization.
Participates in the ongoing evaluation of the individual's progress on the plan as well as of the effectiveness and appropriateness of the services.
Interviews all patients and their families to obtain information relevant to medical problems and discharge planning needs.
Coordinates access to accelerated and/or alternative care options when appropriate.
Coordinates access to appropriate government and community programs and resources.
Facilitates and collaborates with the healthcare team for timely discharge planning to an alternative level of care when appropriate.
Coordinates the discharge plan with the healthcare team and providers.
Assists the individual and family in anticipating needs and making plans for re-entry to home or an alternative living site.
Recommends and coordinates home assessment services before discharge and necessary reassessment after discharge.
Assists in selecting and arranging for quality-conscious, cost-effective home care, equipment, and services.
Assists in determining the most appropriate level of care for the individual.
Assists in locating a facility.
Arranges for assessment of the setting, as well as for reasonable adaptation of the site to meet the individual's needs.
Assists the individual and the family in anticipating needs and making plans for re-entry into the community environment.
Arranges for special assessment by educational or vocational counselors when indicated.
Assists the individual and family in planning for re-entry to the school and/or work environment through collaboration with a vocational counselor (as appropriate) and through contact with school system and/or employee representatives.
If competitive employment is not an option for the client, assists the individual and family with identification of community activities and resources and/or volunteer placement when appropriate.
Ensures that funding is available for services through the payor or other resources.
Performs periodic reassessment of the individual's and significant other's response and progress toward treatment goals.
Facilitates and participates in conferences that provide ongoing evaluation of interdisciplinary dynamics, goal attainment, and treatment plan revision.
Facilitates case closure based on the individual's response, progress toward treatment goals and established criteria of the employing facility or agency, or at the request of the third-party payor if appropriate.
Facilitates and reports out all activities to appropriate utilization review committees.