Care Coordinator - Per Diem
About The Position
Beloit Health System is seeking a per diem Care Coordinator for the Care Coordination department. The role is described as Social Worker work for patients admitted to Beloit Memorial Hospital. The Social Worker completes bio-psychosocial assessments and discharge planning evaluations, collaborating with the interdisciplinary team to support smooth transitions from the hospital. The position is per diem, with a first shift schedule of 8:00 a.m. to 4:30 p.m. and varied weekly hours. Benefits are not available for this position. The Care Coordinator conducts screening assessments and clinical reviews, assesses readmissions, and develops patient-centered discharge plans that address potential barriers. The role ensures assessments are completed according to department policy, participates in multidisciplinary rounds and quality improvement projects, maintains current discharge-plan documentation and resource information, and supports compliance with regulatory and accrediting requirements. The position reports to the Manager and Director of Care Coordination.
Requirements
- Bachelor's degree in Social Work at minimum.
- Certification to practice as a social worker in Wisconsin, at least temporary certification.
- Excellent verbal and written communication skills.
- Excellent organizational and problem-solving skills.
- Ability to collaborate with other members of the healthcare team.
- Adherence to best-practice standards consistent with the Social Work Code of Ethics.
- Ethical conduct and maintenance of confidentiality for personal and medical information.
Nice To Haves
- Master's degree in Social Work preferred.
Responsibilities
- Complete bio-psychosocial assessments and discharge planning evaluations for patients admitted to Beloit Memorial Hospital.
- Provide resource and referral information in collaboration with the interdisciplinary team to support smooth transitions from the hospital.
- Conduct screening assessments and clinical reviews, assess readmissions, and develop patient-centered discharge plans that address potential discharge barriers.
- Review readmission risk with the interdisciplinary team.
- Ensure initial evaluations and discharge planning assessments are completed according to department policy.
- Manage crisis situations in an empathetic and professional manner.
- Participate in multidisciplinary rounds to support appropriate discharge-planning recommendations and referrals.
- Maintain documentation reflecting the most up-to-date discharge plan.
- Participate in department-identified quality improvement projects.
- Maintain an accurate, up-to-date database of resources and referral information.
- Ensure compliance with Joint Commission standards and regulatory and accrediting agency requirements.
- Report significant errors or unanticipated patient-care outcomes that result in harm.
