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Social Worker - Population Health Care Management - Day

WellSpan Health

Company : WellSpan Health

Location : Lewisburg, PA, 17837

Posted Date : 22 September 2025

Job Type : Full Time

Category : Community & Social Service

Occupation : Social Worker

Job Details

Schedule

Full Time, Day Shift (80 hours biweekly)

Hours: Monday - Friday, 8:00am - 4:30pm

General Summary

Plans, organizes and implements social work services for patients and families. Provides social work consultation to staff, patient counseling and direct social work services to assigned patients in accordance with the agency's standards and policies.

Essential Functions:

  • Interviews patients and family members to obtain information about home environment, family relationships, health history, and patient's personality traits.

  • Evaluates data gathered in terms of the medical plan of treatment, available social service programs, and plans a pertinent therapy program that will provide each patient with maximum benefit.

  • Assists patients and families to understand, accept, and follow medical recommendations.

  • Utilizes resources to help patient resume life in the community or to learn to live with the disability.

  • Interprets nature of illness and prescribed course of treatment to patients and families. Communicates family issues to other staff members.

  • Participates in planning conferences to identify significant social, economic and emotional factors related to the health problem and assist in formulating the plans of care for specific patients.

  • Provides social work consultation to the staff to enable them to assess the significant social, economic and emotional factors related to the health problem.

  • Advises the staff on community resources available to meet patient needs and assists in making appropriate referrals.

  • Assists in the orientation of new staff or continuing education of existing staff as requested.

  • Assists in identifying staff development needs related to family dynamics or social-economic factors.

  • Reviews and co-signs clinical progress notes written by BSW.

  • Assists in developing discharge and post-hospital care plans.

  • Collaborates with other hospital programs and community agencies with which patients and families are involved.

  • Performs follow-up calls and/or checks with health care and related agencies used after patient discharge.

  • Prepares and maintains required documentation on each case.

  • Records the social service component of care on the patient's record, including the identified social problems and treatment plans that have been implemented.

  • Submits clinical documentation and records in an accurate, legible and timely manner consistent with agency policy. Meets or exceeds established productivity.

  • Actively seeks consultation or direction from management personnel as appropriate.

  • Participates in staff development and in-service programs, as requested.

  • Promotes a positive corporate image.

  • IF ASSIGNED TO VNA: Under Physician's order, provides direct social casework services and home visits to individuals and families.

  • IF ASSIGNED TO VNA: Maintains current knowledge on community resources and develops a referral network system.

  • IF ASSIGNED TO VNA: Represents the VNA at community meetings as delegated by clinical management.

Common Expectations:

  • Demonstrates knowledge of the principles of growth and development over the life span of the assigned patient population. Assesses and interprets patient age specific data and provides appropriate, age specific treatment. Provides direct patient care to assigned patient age group(s).

  • Demonstrates a commitment to patient, visitor and staff by: complying with all applicable safety regulations; learning the impact of medical errors and methodology that will lead to reduction of errors; reporting actual and potential errors, as well as hazardous conditions; identifying opportunities to standardize processes and "error proof" systems that will lead to increased safety; and participating in safety education programs and root cause analyses as required.

  • Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards.

  • Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops.

  • Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

  • Attends meetings as required.

Qualifications

Minimum Education:

  • Bachelors Degree Must be degreed in social work or social welfare per PA Act 68 of 2008. Required

  • Masters Degree Must be degreed in social work or social welfare per PA Act 68 of 2008. Degree from a school of social work accredited by the council on social work education. Preferred

Work Experience:

  • Less than 1 year 6 months. Required

  • 1 year Experience in healthcare. Preferred

  • 1 year Experience in Community Health. Preferred

Knowledge, Skills, and Abilities:

  • IF ASSIGNED TO VNA: Commitment to and knowledge of patient care in the home and community services and delivery system.

  • IF ASSIGNED TO VNA: Ability to develop constructive interpersonal relationships with members of the home health team.

  • Ability to communicate effectively both verbally and in writing.

  • Knowledge of social work methods.

  • Ability to collaborate effectively with community agencies.

  • Ability to analyze community resources and identify deficiencies which need community action.

Benefits Offered:

  • Comprehensive health benefits

  • Flexible spending and health savings accounts

  • Retirement savings plan

  • Paid time off (PTO)

  • Short-term disability

  • Educational assistance

  • Financial education and support, including DailyPay

  • Wellness and Wellbeing programs

  • Caregiver support via Weallthy

  • Childcare referral service via Wellthy

WellSpan Health's vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest.

WellSpan Evangelical Community Hospital

Working at WellSpan Evangelical Community Hospital means being part of a vital tradition of service to our community. We maintain a challenging, energized work environment for our valued employees who exemplify our Core Values: Quality Service, Compassion, Respect, Professionalism, Integrity, Cooperation, and Creativity. Together, we commit to excellence every day as we strive to provide exceptional healthcare, accessible to all, in the safest and most compassionate atmosphere possible to build a healthy community.

Quality of Life

Located in Lewisburg, Pennsylvania, WellSpan Evangelical shares its picturesque, riverside home with Bucknell University-providing access to the arts, entertainment and sporting events while maintaining a small-town setting.

The local school district ranks among the best in the state in academics, athletics and the arts. Despite its tranquil, rural setting, Lewisburg is just three hours from New York City and Philadelphia and four hours from Pittsburgh.

The region is home to the majestic Susquehanna River. We are also surrounded by state parks, scenic country roads, abundant fishing streams and year-round recreational opportunities. The region also offers a number of land and water trails. Photo Courtesy Susquehanna River Valley Visitors Bureau/VisitCentralPA.org

WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.

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