Social Worker (BSW) - Rural Health

Shawano

Thursday, 04 June 2026

The Social Worker BSW provides quality psychosocial care to patients and coordinates care with the medical team while consistently applying the social work code of ethics. Through the coordination of care, conducts a thorough assessment of the patient’s needs. Understands the medical plan of care, coping abilities, and barriers to care. Implements interventions and/or provides resources. Job Description:SCHEDULE:Part time, benefit eligible 20 hrs/week. Day shift starting at 7:00 am or 8:00 am. Experience is strongly desired. KEY ACCOUNTABILITIES: Identifies patients with complex care needs, conducts patient psychosocial status assessment, establishes a rapport with patient/family, and actively participates in creating and implementing a plan of care to achieve outcomes. Utilizes effective oral and written communication skills to collaborate with the health care team as needed to enhance quality and care. Develops psychosocial plan of intervention for the patient and family utilizing resources within the community. Incorporates social, emotional, financial, and spiritual aspects of care into the patient’s plan. Evaluates progress toward outcomes/goals for individual plan for patient and modifies plan as appropriate. Serves as a consultant, patient advocate, and liaison for patients and families in areas of social work needs and complex psychosocial issues that could include facilitation of specialty-specific psychoeducational support groups in some care settings. Arranges for resources/funds to obtain medications, DME, housing, transportation, and other needed services. Facilitates appropriate and prompt access to primary care providers, physician specialists, and similar services as necessary. Coordinates patient information and communication between and among the patient/family and the referring/accepting facilities, and communicates to caregivers as applicable to ensure smooth transition of care. Advocates for the patient and performs discharge planning/after care coordination. Supports efforts to decrease hospital readmissions when possible and returns patient to the community with appropriate resources. Facilitates advanced care planning and lifespan planning. QUALIFICATIONS:Bachelor’s degree in social work. Licensed/ Certified as Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Independent Social Worker (CISW), or Certified Social Worker (CSW)American Heart Association Healthcare Provider Basic Life Support (BLS)

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