Pediatric Social Worker - Home Care

Fairview Health Services Minneapolis , MN 55415

Posted 2 months ago


Fairview Home Care and Hospice is looking for a Pediatric Social Worker-MSW to join the Minneapolis Home Care team. This is a full time position (1.0FTE), Monday through Friday, 8:00AM 5:00PM.

The Pediatric Social Worker-MSW - Home Care provides a wide range of clinical social work services and interventions to assist children, families, groups or communities to restore, enhance, or protect their capacity for productive social functioning and coping with the consequences of their illness and health care status. The Pediatric Social Worker is able to assume independent practice and takes a leadership role in pediatric patient care, program and professional issues that they confront in their daily practice with minimal supervisory guidance.

Responsibilities/Job Description

Assesses patient situation and identifies patient care and discharge needs:

  • Performs psychosocial assessment on patients to determine psychosocial and discharge planning needs.

  • Assesses family/social support.

  • Works with other interdisciplinary team members to assess patient's functional capacity, need for community services or placement to meet identified care needs.

  • Assesses cognitive and coping abilities of patient/caregivers and ability to carry out plan.

  • Analyzes assessment and medical data to prioritize needs and determine priority problem(s).

  • Documents assessments and interventions on interdisciplinary care plan and medical record.

  • Obtains input from patient and family caregivers regarding their needs and desires.

  • Assures that assessments, interventions and teaching plans reflect the developmental level needs of patient/family.

Develops and facilitates timely individualized patient care and discharge plans:

  • Attends interdisciplinary team meetings and collaborates regularly with team.

  • Arranges and mobilizes a range of community resources to meet identified patient/family needs.

  • Formulates plan, communicates and educates patient/caregivers and referral sources about plan details to assure common understanding and agreement with plan; evaluates effectiveness of learning.

  • Modifies plan based on patient's evolving needs and wishes.

  • Collaborates with agencies and case managers already involved in patient's care.

  • Documents evolving assessments and plans.

Provides a range of generalist social work interventions to assist patients and families reach their goals.

  • Facilitates case management, crisis intervention, problem solving, supportive counseling, group work, psychoeducation, information and referral services, and abuse reporting as appropriate.

  • Identifies rapidly changing situations and intervenes to prevent or resolve a crisis, increased length of hospital stay or unnecessary hospital admission.

  • Identifies mental health issues and refers to appropriate provider for intervention and follow-up.

  • Provides information and referral to community members and ambulatory care settings and maintains community resource file.

Advocates for individual patients, families and patient groups from social work theory and practice perspectives.

  • Educates health care team members regarding social work role.

  • Educates health care team members and community on pertinent patient care issues, community resources, financial impact issues, patient rights and population specific information.

  • Serves as patient advocate and liaison with physician, interdisciplinary team and community services/agencies to ensure continuity of care and to meet patient needs.

  • Provides macro social work intervention to health care system by identifying barriers/issues related to providing patient care.

  • Participates in quality improvement processes to improve services to patients/families.

Seeks to advance the field of social work

  • Promotes ethical social work practice as defined by the licensing and professional organizations that regulate the profession.

  • Serves as preceptor or field instructor for social work undergraduates and new employees.

  • Serves entity committees as appropriate.

  • Engages in clinical supervision as defined by the entity.

  • Provide consultation to patient, families and referral sources regarding programmatic and payer information.

  • Assist clients and families in utilizing resources to support the client at home or to move into an alternative living situation.



  • Master's degree in Social Work

  • One year recent post-educational social work experience in health care setting.

  • Computer skills: able to document effectively in EMR.

  • Current Minnesota Social Work licensure at the LGSW, LISW or LICSW level


  • Two years or more years of recent pediatric social work experience in hospice, homecare, hospital, or related health care setting preferred.

Additional Requirements:

  • Valid Minnesota driver's license (or license that matches your current permanent residence)

  • Current and adequate automobile insurance policy

  • Reliable transportation

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Pediatric Social Worker - Home Care

Fairview Health Services