Social Worker Care Coordinator

Job Overview

Fairview is looking for a Social Worker Care Coordinator to join their team!

Bring Your Possibilities to Fairview

At Fairview, we believe in the power of possibility - within ourselves, our teams, and the communities we serve. We believe that leadership isn't just a title - it's a mindset we all share. Whether you're providing hands-on care, innovating behind the scenes, or supporting those who do, your work matters.

Fairview Partners (FVP) provides high intensity care coordination and case management for seniors and other at-risk populations living in a variety of care settings throughout the 11-county metro area. The FVP Social Worker (SW) Care Coordinator provides coordination across all settings of care and performs the functions of case management which include, but are not limited to assessment, care planning, service coordination and referral, transition management, utilization management and quality assurance. The care coordinator promotes holistic, high quality and cost-effective care with the goal of keeping seniors in the most independent care setting possible. Care coordination for the FVP population is delivered via partnerships with managed care organizations (MCO) and must adhere to regulations set forth by the MCOs, the Minnesota Department of Human Services (DHS), the Minnesota Department of Health (MDH) and the Centers for Medicare and Medicaid Services (CMS). Responsibilities :

Assessment

• Conducts annual Health Risk Assessment and scheduled follow-up assessments according to MCO, Minnesota Department of Human Services (DHS) and Centers for Medicare & Medicaid Services (CMS) guidelines
• Performs additional clinical assessments specific to the population being served per professional scope of practice and license
• Assesses eligibility for State Plan Personal Care Attendant services during HRA, as appropriate
• Performs pre-admission screening annually and upon transfer to skilled nursing facilities

Care Planning

Coordination of Medicare and Medicaid Benefits & Services

Member of Interdisciplinary Team / Facilitator of Communication

ransition Management :

Additional Responsibilities

Required Qualifications

Preferred Qualifications

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