Social Worker BSW, Behavioral Care Team

April 28, 2016

Location: M Health Maple Grove

Department: Care Coordinators

Hours per 2 Weeks: 80

Shift: Day

Job Number: 16-60500

Job Description:

In 2015, the Agency for Healthcare Research and Quality named Fairview Clinics as one of eight “exemplar” integrated behavioral health primary care models across the country. Integrated care is a result of an engaged primary care team providing patient-centered care addressing mental health and substance abuse conditions, health behaviors, stressors, social determinants of health, and ineffective patterns of health care utilization. At Fairview, integrated care is a “team sport.”

We are hiring Licensed Social Worker with strong team and patient engagement skills that enjoy innovation, learning, and being a member of high performing teams.

As a key member of the Behavioral Health Home (BHH) primary care team, the SWCC  supports health and wellness for patients with chronic mental and physical health conditions In collaboration with the Primary Care BHH team, the Social Work Care Coordinator supports the care transition and coordination needs of the defined patient population works closely with patients/families, the care team, and community services to address patient healthcare and resource needs

A combination of face to face and telephonic services will be provided to BHH eligible / enrolled patients to meet the triple aim of healthcare (i.e. Exceptional Patient Experience, Quality, and Total Cost of Care)

Job Qualifications:



LSW in state of MN


1+ year post LSW licensure

Strong cultural competency

Motivational Interviewing Training

Knowledge of health conditions and common co-morbidities

Knowledge of the continuum of behavioral health care services

Experience with Epic