Medical Social Worker: Care Coordination & Discharge Planning

Aurora Health Care; Elkhorn (WI); On-site; USD 60,000 - 75,000; Full time

Job summary

Aurora Health Care in Wisconsin is seeking a licensed social worker to provide psychosocial assessment, discharge planning, and care coordination for patients and families within a multidisciplinary team.

The role focuses on safe, timely coordination of care across post-acute services, medical equipment, home health, and community resources, ensuring patient involvement in the plan of care and timely discharge.

Qualifications

• Master’s degree in social work from CSWE-accredited program.
• 1 year of social work experience in healthcare.
• Licensed/Registered: IL-LSW eligible, WI Social Work Certification preferred.
• Ability to coordinate care with multi-disciplinary teams.
• Knowledge of advance directives, discharge planning, and community resources.

Responsibilities

• Provide psychosocial assessment and discharge planning.
• Coordinate post-acute placement and home health services.
• Advocate for patient involvement in the plan of care.
• Educate patients and families about community resources.
• Document activity according to department protocols.

Job description

Aurora Health Care in Wisconsin is seeking a licensed social worker to provide psychosocial assessment, discharge planning, and care coordination for patients and families within a multidisciplinary team.

The role focuses on safe, timely coordination of care across post-acute services, medical equipment, home health, and community resources, ensuring patient involvement in the plan of care and timely discharge.