Geriatric Social Worker - Transitions & Discharge

Elderwood Administrative Services; Town of Barton (NY); On-site; USD 43,000 - 53,000; Full time

Job summary

Elderwood Administrative Services is seeking a Social Worker to join our interdisciplinary team at Elderwood at Waverly in Waverly, NY. You will advocate for residents, address psychosocial needs, support families through complex decisions, and help coordinate admissions, care plans, transfers, and discharges.

This role emphasizes empathetic, organized practice, thorough documentation, and collaboration across nursing, rehabilitation, medical providers, admissions, and other departments to keep

Qualifications

• Bachelor’s degree in Social Work or related field from an accredited institution.
• At least one year of supervised social work experience in a healthcare setting.
• Previous casework experience.
• Strong communication, documentation, organization, and interdisciplinary collaboration skills.
• Ability to read, write, speak, and understand English at an intermediate or higher level.

Responsibilities

• Manage an assigned social work caseload and serve as a consistent resource for residents and their families.
• Welcome and help orient new residents, supporting their emotional and social adjustment to the community.
• Identify psychosocial, emotional, mental health, and practical needs and coordinate access to appropriate services and resources.
• Participate in the development and review of individualized care plans with the interdisciplinary care team.
• Advocate for residents’ preferences, individuality, independence, dignity, and right to participate in decisions about their care.
• Support residents and families through changes in condition, difficult decisions, transfers, and transitions to another level of care.
• Participate actively in discharge planning and help coordinate safe, appropriate transitions.
• Complete required admission and discharge assessments, including SCREEN documentation when applicable.
• Provide supportive individual or group counseling and connect residents and families with resources within the scope of the position.
• Maintain accurate, timely documentation in accordance with facility, departmental, and regulatory requirements.
• Collaborate with nursing, rehabilitation, medical providers, admissions, and other facility departments to address residents’ needs.
• Participate in staff education and in-service programs as requested.

Skills

Communication

Documentation

Organization

Interdisciplinary collaboration

English proficiency

Education

Bachelor’s degree in Social Work or related field

Job description

Elderwood Administrative Services is seeking a Social Worker to join our interdisciplinary team at Elderwood at Waverly in Waverly, NY. You will advocate for residents, address psychosocial needs, support families through complex decisions, and help coordinate admissions, care plans, transfers, and discharges.

This role emphasizes empathetic, organized practice, thorough documentation, and collaboration across nursing, rehabilitation, medical providers, admissions, and other departments to keep