Senior Care Social Worker — Advocate & Transitions

Elderwood Administrative Services; Scranton (NY); On-site; USD 29,000 - 48,000; Full time

Job summary

Elderwood Administrative Services seeks a Social Worker to join Elderwood at Hamburg in Hamburg, NY. You will advocate for residents and coordinate with families and the interdisciplinary team to ensure smooth transitions and high-quality care.

You will support residents across long-term care, memory care, and subacute rehabilitation, helping with discharge planning, admissions, and resources while upholding dignity and independence.

Qualifications

• Bachelor's degree in Social Work or a related field from an accredited institution.
• At least one year of supervised social work experience in a healthcare setting with individuals.
• Previous casework experience.
• Strong communication, documentation, organization, and interdisciplinary collaboration skills.
• Genuine interest in working with older adults and supporting residents and families through healthcare transitions.
• Valid driver’s license and a driving record that meets company requirements.
• Ability to read, write, speak, and understand English at an intermediate or more advanced 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 financial, community, or personal 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’ physical, emotional, and social needs.
• Participate in staff education and in-service programs as requested.

Skills

Communication

Documentation

Organization

Interdisciplinary collaboration

Driver's license

English proficiency

Education

Bachelor's degree in Social Work or related field

Job description

Elderwood Administrative Services seeks a Social Worker to join Elderwood at Hamburg in Hamburg, NY. You will advocate for residents and coordinate with families and the interdisciplinary team to ensure smooth transitions and high-quality care.

You will support residents across long-term care, memory care, and subacute rehabilitation, helping with discharge planning, admissions, and resources while upholding dignity and independence.