Inpatient Care Coordinator & Social Worker

Beloit Health System; Beloit (WI); On-site; USD 52,000 - 72,000; Full time

Job summary

Beloit Health System is seeking a Care Coordinator / Inpatient Social Worker to join our Care Coordination team at Beloit Memorial Hospital. The role focuses on advocating for patients, navigating complex healthcare needs, and ensuring safe transitions of care through discharge planning and community resource linkage.

The ideal candidate holds a Bachelor's in Social Work with Wisconsin certification (temporary acceptable) and demonstrates strong communication, crisis intervention, and

Qualifications

• Bachelor's degree in Social Work required; Master's degree preferred.
• Wisconsin social work certification at least temporary.
• Knowledge of discharge planning, care coordination, and community resources.
• Strong communication, assessment, and crisis intervention skills.
• Ability to collaborate within a multidisciplinary healthcare team.
• Conflict resolution and de-escalation abilities.
• Empathy and cultural sensitivity.
• Strong organizational and documentation skills.

Responsibilities

• 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 EMR.
• Maintain knowledge of regulatory requirements, hospital policies, and community resources.

Skills

Communication skills

Crisis intervention

Empathy & cultural sensitivity

Documentation skills

Education

Bachelor's degree in Social Work

Master's degree preferred

Job description

Beloit Health System is seeking a Care Coordinator / Inpatient Social Worker to join our Care Coordination team at Beloit Memorial Hospital. The role focuses on advocating for patients, navigating complex healthcare needs, and ensuring safe transitions of care through discharge planning and community resource linkage.

The ideal candidate holds a Bachelor's in Social Work with Wisconsin certification (temporary acceptable) and demonstrates strong communication, crisis intervention, and