Beloit Health System is looking to add a Per Diem Care Coordinator to our Team! • Shift:1st • Schedule: 8am - 4:30 pm • Hours per week: Varied - Per Diem • Benefits Status: Not Eligible • Department: Care Coordination The Social Worker is responsible for completing bio-psychosocial assessment and discharge planning evaluation for patients admitted to Beloit Memorial Hospital. The Social Worker will work collaboratively with the interdisciplinary team to provide resource and referral information to ensure a smooth transition from the hospital. • Screening assessments, clinical review, assess readmissions, and develop patient centered discharge plan to address potential discharge barriers. Reviews readmission risk with the interdisciplinary team. • Ensures that initial evaluations and discharge planning assessments are completed according to department policy. • Demonstrates management of crisis situations in an empathetic and professional manner. • Participates in multidisciplinary rounds to ensure appropriate recommendations and referrals for discharge planning. • Maintains documentation to reflect most updated discharge plan. • Participate in Quality Improvement projects identified by the department • Maintains an accurate and up to date database of resources and referral information. • Ensures compliance with Joint Commission and ensures all regulatory and accrediting agency requirements are met. • Reports significant error or unanticipated outcomes in patient care which results in harm. 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). • Excellent verbal and written communication skills. • Excellent organizational and problem solving skills. • Ability to work collaboratively with other members of the healthcare team. • Adhere to best practice standards consistent with the Social Work Code of Ethics • Practices ethical conduct and maintains confidentiality for personal and medical information. • Reporting Relationship: Manager and Director of Care Coordination. Apply to join our team today!