Care Coordinator / Inpatient Social Worker - Per Diem

Beloit Health System; Beloit (WI); On-site; USD 52,000 - 76,000; Part time

Job summary

Beloit Health System is seeking a Care Coordinator / Inpatient Social Worker to join our interdisciplinary healthcare team in Beloit, WI. You will advocate for patients and families, navigate complex needs, and facilitate safe transitions of care.

Responsibilities include psychosocial assessments, discharge planning, coordinating resources, and crisis intervention. Collaboration with physicians and care teams is essential to deliver patient-centered care.

Qualifications

• Bachelor’s degree in social work; MSW preferred.
• Wisconsin social work certification (temporary acceptable).
• Knowledge of discharge planning and care coordination.
• Excellent communication, assessment and crisis intervention skills.
• Ability to collaborate within a multidisciplinary healthcare team.

Responsibilities

• Conduct psychosocial assessments to identify patient and family needs.
• Develop and implement individualized discharge plans.
• Coordinate community resources and post-acute services.
• Provide counseling and crisis intervention.
• Collaborate with physicians and care teams on patient plans.
• Advocate for patient rights and assist with directives.
• Document assessments and progress in the EMR.
• Maintain knowledge of regulatory requirements and resources.

Skills

Strong communication

Assessment skills

Crisis intervention

Team collaboration

Conflict resolution

Empathy

Cultural sensitivity

Documentation skills

Discharge planning knowledge

Education

Bachelor's degree in Social Work

MSW preferred

Wisconsin social worker certification

Job description

Beloit Health System is looking to add a Care Coordinator / Social Worker to our Team!

• Shift: 1st
• Schedule: 8am - 4:30 pm
• Hours per week: Varied - Per Diem
• Benefits Status: Not Eligible
• Department: Care Coordination

At Beloit Memorial Hospital, we are committed to providing exceptional, patient-centered care that supports healing and improves outcomes. We are seeking a compassionate and skilled Care Coordinator/Inpatient Social Worker to join our interdisciplinary healthcare team. In this role, you will advocate for patients and families, help navigate complex healthcare needs, and facilitate safe, effective transitions of care.

• Conduct comprehensive psychosocial assessments to identify patient and family needs.
• Develop and implement individualized discharge plans to support safe transitions of care.
• Coordinate community resources, post-acute services, and supportive care programs.
• Provide counseling, emotional support, and crisis intervention to patients and families.
• Collaborate with physicians, nursing staff, case managers, and interdisciplinary teams to develop patient-centered care plans.
• Assist with complex cases involving abuse, neglect, domestic violence, homelessness, substance use disorders, mental health concerns, and financial hardship.
• Facilitate referrals to rehabilitation facilities, skilled nursing facilities, home health agencies, hospice services, behavioral health programs, and community organizations.
• Educate patients and families about available resources, treatment options, and discharge plans.
• Advocate for patient rights and assist with advanced directives, guardianship concerns, and ethical care issues as appropriate.
• Document assessments, interventions, discharge plans, and patient progress in the electronic medical record.
• Maintain knowledge of regulatory requirements, hospital policies, and community resources.

Job Requirements

• Minimum of Bachelor's Degree in Social work (Master's Degree preferred).
• Certification to practice as a social worker in the State of Wisconsin (minimum of temporary certification).
• Knowledge of discharge planning, care coordination, and community resources.
• Strong communication, assessment, and crisis intervention skills.
• Ability to collaborate effectively within a multidisciplinary healthcare team.
• Conflict resolution and de-escalation
• Empathy and cultural sensitivity
• Strong organizational and documentation skills
• Reporting Relationship: Manager and Director of Care Coordination.