Social Worker, Patient​/Health Advocate

• Provides patients and families with the psychosocial support needed to cope with chronic, acute, or terminal illnesses.
• Services include advising family care givers, providing patient education and counseling, and making referrals for other services.
• May also provide care and case management or interventions designed to promote health, prevent disease, and address barriers to access to healthcare.
• Delivers professional and thorough social work services, including psychosocial assessment and intervention planning.
• Identifies patients who require social work assessment and intervention through high risk screening, interdisciplinary team meetings and individual referrals.
• Conducts assessments that address bio-psycho-social issues for age, population and health specific needs which results in individualized plans of care.
• Provides support and counseling to patients and families.
• Provides information and assistance for identified financial or social needs.
• Coordinates complex transition plans with patients, families, health care team and community providers.
• Utilizes the electronic medical record to monitor, document and communicate patient progress toward goals and progression of the social work plan.
• Collaborates and communicates with interdisciplinary team anticipating needs to move the plan of care forward.
• Provides support and information to patient and families regarding transition plan.
• Maintains knowledge of government and private payer networks and services to assure appropriate transitions.
• Advocates for patients and families by supporting patient rights and accessing protective services.
• Assures appropriate reporting of vulnerability or suspected abuse as mandated by law.

• Bachelor's degree in Social Work
• Licensed Social Worker - MN Board of Social Work required
• Licensed Social Worker - WI Dept of Safety & Professional Services required (if working in Wisconsin or interacting with Wisconsin patients remotely)
• Valid Driver’s License required upon hire - MN and WI residents must obtain a valid driver’s license in their state of residence within 60 days of employment for positions in for Home Care, Palliative Care Community, Senior Care and System ACT
• Experience in an acute care setting
• 2+ years social work experience

Demonstrates expertise in psychosocial assessment and intervention planning, providing comprehensive support to patients and families coping with health challenges. Proficient in coordinating care transitions and advocating for patient rights while maintaining knowledge of healthcare systems and resources.

• Licensed Social Worker - MN
• Licensed Social Worker - WI
• Psychosocial Assessment
• Care Coordination
• Acute Care Experience

• Psychosocial Support
• Patient Education
• Counseling
• Intervention Planning
• High Risk Screening
• Bio-Psycho-Social Assessment
• Transition Planning
• Documentation in Electronic Medical Record
• Advocacy for Patient Rights
• Knowledge of Government and Private Payer Networks

• Collaboration
• Communication
• Empathy
• Problem-Solving
• Interpersonal Skills

• Bachelor's Degree in Social Work
• Valid Driver’s License

• Chronic Illness
• Acute Illness
• Terminal Illness
• Social Work Services
• Healthcare Access
• Patient Rights
• Protective Services