Medical Social Worker

Division/Department:
Human Services – Medical Services

Location:

Center for American Indian Resources & Min No Aya Win Human Service Center

Reports To:

Director - Medical Probationary Period: 90 days – Full time, 120 days – Part timeFLSA Status:
Exempt (Salaried)
Classification:
Child-Related CADriver’s License:
Level 2
- Driver’s License required.

Rate of Pay: $29.47 to $33.60

Bonus: $5,000 with 2-year commitment

Responsibilities:
Assists clients in navigating inpatient medical stays.

Provide support for patients to experience culturally appropriate care while in an inpatient setting

Assist Clients in obtaining Durable Medical Equipment (DME).Accept, record and ensure completion of referrals from other providers outside the agency.

Conduct intake interviews with clients.

Develop a plan of care with client/families when appropriate.

Offer options within network when appropriate.

Identify and secure alternative resources for clients.

Provide follow-up services to client/family.

Participate in inter-professional team-based primary care casework analysis and planning.

Exchange pertinent information with team members as necessary.

Provide feedback to referring provider when appropriate.

Coordinate placement in rehabilitation programs such as discharge after hospitalization or treatment facilities for substance abuse when necessary.

Assist with discharge planning from the hospital using a shared decision-making approach with patients and families to support safe transitions to home, rehabilitation facilities, assisted living, or long-term care as appropriate.

Assist patients with obtaining insurance coverage for long term care and helping them understand the policy’s coverage.

Assist with coordinating patient care conferences. Work with staff to schedule care conferences with providers, outside agencies and appropriate family members or POA if applicable. Referring patients to the FDL HSD Patient Advocates or care coordinators to assist in obtaining other insurance coverage.

Assist in completing forms requiring a provider’s signature, including but not limited to Physician Orders for Life-Sustaining Treatment forms, disability and medical necessity forms, medical opinion forms, school and childcare health forms, insurance and coverage forms, workers’ compensation documents, FMLA forms, Durable Medical Equipment requests, and prescription-related forms.

Participate in patient care conferences and serve as the patient advocate by identifying unmet needs and helping develop strategies to address them. .Coordinate care and shelter services for people facing homelessness, sexual violence or other significant challenges.

Assist with reporting abuse/neglect to the appropriate authorities.

Coordinate patient care with inpatient care facilities not associated with FDL.Coordinate patient care with the FDL Social Services or county social services.

Coordinate home care needs with FDL Home Care or other home care providers.

Assist patients with advanced care directives upon request.

Assist with Medical Assistance restricted patient requirements/changes.

Connect veterans to FDL Veteran Service Office (VSO) or county VSO; provide education to patients and families on alternative community resources.

Assist medical department leadership in identifying unmet client needs and ways of addressing those needs.

Provide interdepartmental collaboration across all HSD departments, including medical, community health, social services, dental, behavioral health, and the substance use department.

Provide and support inter facility collaboration across all spectrums of the healthcare continuum.

Maintain awareness of financial and medical resources in the service area.

Stay informed about the county, state, federal, educational, vocational, and…