Population Health: Medical Social Worker

Lifespark is a complete senior health company headquartered in St. Louis Park, Minnesota. Since 2004, we've been helping seniors stay healthy, navigate their health care options with confidence, and live fuller, more independent lives as they age. That's where our people come in - from accounting and health technology to front-line nurses, advanced practice professionals, caregivers and everything in between, we are all invested entrepreneurs focused on helping people age magnificently.

Our Lifespark culture has created not only an award-winning workplace - earning Star Tribune Top Workplace 11 times, Minneapolis Business Journal Best Places to Work three times, and Top USA #1 in Healthcare - but a place where you have the room to be creative, make a difference, and have a purposeful, direct impact on how people age. Lifespark's full continuum of services offers a breadth of roles with the support to grow your career. To see the experience we are creating, watch our award-winning video Going South - this is the experience you will help create at Lifespark! Changing the age-old story starts with you - let's get you hired.

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  Annual Reviews/Raises{Shift differentials if applicable}
  
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  Paid Time Off - Vacation Time
  
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  Mileage reimbursement
  
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  Medical, Dental, Vision benefits for Full Time Hires
  
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  Short-Term Disability & Long-Term Disability Insurance
  
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  Life Insurances
  
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  401k + Company Match for full-time and part-time employees
  
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  Referral bonuses
  
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  Career path to other positions within our growing company!
  

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  Assist patients with psychosocial, financial, and practical concerns, including access to resources for activities of daily living (ADLs).
  
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  Facilitate access to in-home aides' external caregiving support via agencies, meal delivery, and transportation services.
  
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  Connect patients and caregivers to funding and community programs for home modifications and fall prevention strategies.
  
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  Support transitions to alternative care settings (assisted living, memory care) when needed.
  
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  Assist with completing forms, documentation, and regulatory assessments for insurance products.
  
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  Help patients obtain assistive devices for vision and hearing needs.
  

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  Support Advance Care Planning in the context of significant psychosocial challenges, such as impaired coping, family conflict, or lack of support during critical decisions or transitions
  
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  Assists clinical team to identify surrogate decision makers for clients without decisional capacity who lack a healthcare agents and / or power of attorney
  

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  Participate in interdisciplinary team rounds, interpreting social, emotional, and family issues for the care team.
  
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  Act as a liaison between medical staff and patients/families to minimize stress and improve coping skills.
  
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  Document assessments and care plans in the EMR and communicate findings with the care team.
  
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  Lead staff education and discussions on social work interventions relevant to population health.
  
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  Program Development and Standards.
  
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  Establish and implement standards for care coordination services within the Population Health division.
  
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  Develop and maintain policies, procedures, and protocols supporting social work services and programs.
  
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  Complete intake assessments, treatment planning, reassessments, and discharge services in line with program guidelines.
  
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  Engage in continuous professional development and contribute to program improvement.
  
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  Caregiver and Family Support.
  
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  Provide emotional support to caregivers and facilitate access to respite care and community resources.
  
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  Guide families through care transitions and advanced care planning.
  
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  Regulatory and Quality Assurance.
  
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  Conduct regulatory assessments required by insurance products or programs.
  
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  Ensure care plans and documentation meet contract and policy standards.
  

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  Masters or Bachelor's degree in Social Work from a CSWE accredited social work program.
  
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  License to practice as an LGSW, LICSW or LISW in the state of Minnesota.
  
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  2 years clinical experience; hospice and palliative care or acute care (inpatient hospital, emergency department) experience preferred.
  
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  Flexibility and eagerness to work in multiple settings and participate in quality/process improvement.
  
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  Passion to care for patients facing serious health challenges.
  
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  Ability to provide care in patients homes
  
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  Valid driver's license with no restrictions.
  
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  Ability to think creatively and build personalized care plans for members
  
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  Strong communication and relationship management skills.
  
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  Computer application proficiency.
  
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  Excellent analytical and problem-solving skills.