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Job Overview

**This is a 1.0 Kidney Transplant Social Worker position** that follows patients across the continuum of care both outpatient at the Clinics and Surgery Center and inpatient during their Kidney Transplant Hospital stay at The University of Minnesota Medical Center. There is an every 6th weekend and 1 holiday per year requirement. Hours are 7:30am-4pm Monday through Friday. The acute social worker works on-site with the interdisciplinary teams including providers, physical therapists, nurses, dieticians, chaplains and pharmacists to assist patients and families in navigating through their hospitalization. The acute social worker completes psychosocial assessments, care planning/ progression and creates comprehensive discharge plans from the hospital. The social worker is patient facing, responds to crisis situations, manages patient and family expectations, creates solutions to identified discharge barriers and aims to reduce length of stay and prevent avoidable hospital readmissions.

Responsibilities

+ Attends daily in person interdisciplinary care team rounds

+ Conducts thorough psychosocial assessments with patients and/ or their surrogate decision makers

+ Helps the care team navigate and mediate complex psychosocial dynamics

+ Is well versed in the surrogate decision maker policy and assists care team members with identifying surrogate decision makers according to the policy

+ Communicates frequently with the interdisciplinary team to ensure continuity and effective coordination of care

+ Provides emotional support and counseling surrounding adjustment to sudden illness, grief/bereavement and end of life planning

+ Addresses social determinants of health and assists with connecting patients to needed resources in the community such as chemical dependency treatment, domestic violence resources, housing stabilization services, mental health services, food shelves, transportation, financial assistance etc.

+ Arranges and facilitates in person care conferences as needed to support patients and their families surrounding navigating complex medical decision-making processes/ goals of care

+ Documents all interactions thoroughly and timely following established department standard work

+ Serves as the expert in system adult and child protection reporting policies

+ Collaborates with patients, families and interdisciplinary teams in developing an individualized discharge plan based on age, social and cultural considerations, clinical diagnoses, level of functioning and other relevant needs

+ Participates in hospital initiatives and projects to reduce length of stay and related barriers which may include collaborating with providers for clinical adjustments in care

+ Assists with ensuring the hospital is in regulatory compliance for care management related conditions of participation

+ Assists with efforts to improve patient flow in a high-capacity hospital setting

+ Works in a fast-paced hospital environment

+ Effectively re-prioritizes competing time sensitive job demands

+ Demonstrates the ability to advance evidence-based practice by utilizing standards, guidelines and pathways for care delivery

+ Incorporates data and information into practice to continually improve care and practice to enhance patient outcomes

+ Supports site and system quality initiatives

+ Provide age appropriate short- and long-term therapeutic interventions

+ If a licensed supervisor, provide clinical supervision as requested (site dependent)

+ Potential opportunity to facilitate a support group (site dependent)

Required Qualifications

+ Master of Social Work

+ 1 year Experience working in a healthcare or related setting

+ LICSW Mstrs Deg Clinical Minnesota Upon Hire

Preferred Qualifications

+ 3 years Experience working in a healthcare or related setting

Benefit Overview

Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: https://www.fairview.org/careers/benefits/noncontract

Compensation Disclaimer

The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.

EEO Statement

EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status