Social Worker - Discharge Planner

Elderwood Administrative Services; Town of Lancaster (NY); On-site; USD 34,000 - 49,000; Full time

Benefits offered by this job

Competitive compensation programs + 1

401K with employer match

PTO & Holiday package

Full suite of health benefits

Tuition reimbursement programs

Employee referral bonus

Job summary

Elderwood at Lancaster is seeking a Social Worker - Discharge Planner to support residents and families through their healthcare journey. You will coordinate discharge planning, assist with care plans, and advocate for resident dignity and independence in a skilled nursing and rehabilitation setting.

The role emphasizes collaboration with interdisciplinary teams, involvement in transitions of care, and providing emotional and practical support to residents and their families.

Qualifications

• Bachelor’s degree in social work or a bachelor’s degree in human rehabilitation counseling, and psychology from an accredited institution.
• One year of supervised social work experience in a health care setting is required.
• Experience in casework is required.
• Experience in casework.
• Ability to work with the elderly.
• English language proficiency at intermediate or higher level.

Responsibilities

• Manage a social work caseload on a nursing unit.
• Assist with plan of care development and review to meet health goals.
• Complete SCREEN forms for admissions and discharge processes.
• Participate in discharge decisions and transfers to higher or lower levels of care.
• Document information per policies and procedures.
• Collaborate with other departments to meet residents’ needs.
• Provide counseling to residents and families; participate in training programs.
• Provides counseling to residents and families.
• Participates in in-service trainings as requested.

Skills

Discharge planning

Communication

Education

Bachelor of Social Work

Bachelor in Rehabilitation Counseling or Psychology

Job description

Salary

Up to $30.00 / hour

Overview

Local Opportunity. Big Impact.

Explore a Clinical Career with Purpose at Elderwood at Lancaster

New Social Worker - Discharge Planner Pay Rates:

• Earn up to $30/hour

Available Social Worker - Discharge Planner Shifts:

• Monday - Friday

Social Worker - Discharge Planner Position Overview:

As a Social Worker - Discharge Planner, you will play a vital role in supporting residents and families throughout their healthcare journey. This position focuses on helping residents achieve the highest possible quality of life by addressing psychosocial, emotional, and discharge planning needs within a skilled nursing and rehabilitation environment.

You will serve as an advocate, resource, and guide for residents and families - helping navigate transitions of care, coordinating supportive services, and fostering dignity, independence, and meaningful resident-centered outcomes.

The ideal candidate is compassionate, organized, and committed to building strong relationships with residents, families, interdisciplinary teams, and community resources.

This role offers the opportunity to make a lasting impact by supporting residents through rehabilitation, long-term care planning, emotional support, and safe, successful discharge transitions.

Why Choose Elderwood at Lancaster:

• Competitive Compensation Programs + Incentives
• 401K with Employer Match
• PTO & Holiday Package
• Full Suite of Health Benefits
• Tuition Reimbursement Programs
• Employee Referral Bonus

Responsibilities

Social Worker - Discharge Planner:

• Assumes a social work caseload of all residents on a nursing unit according to policies and procedures described in Section B of the Social Services Manual.

• Greets and helps acclimate new residents.

• Assists with development and review of plan of care to meet the long and short range health care goals for individual residents on the assigned nursing unit.

• Completes SCREEN form for new admissions to unit and for discharge process if applicable.

• Takes an active part in decisions and procedures regarding discharge or transfer of residents to another level of care.

• Documents pertinent information regarding residents as required by department and facility policies and procedures.

• Cooperates with staff of other departments in meeting the physical, emotional and social needs of residents.

• Provides financial, personal, or group counseling for residents and their family members or sponsor.

• Participates in in-service training programs upon request.

Qualifications

Social Worker - Discharge Planner:

• Minimum of a bachelor’s degree in social work or a bachelor’s degree in a human rehabilitation counseling, and psychology from an accredited institution; and services/ field including, but not limited to, sociology, gerontology, special education.
• One year of supervised social work experience in a health care setting working directly with individuals
• Experience in casework required.
• Valid Drivers License and clean driving record required.
• Work experience in the admission or discharge area of social work very desirable.
• Desire and ability to work with the elderly and to cooperate with other staff members necessary.
• This position requires regular interaction with residents, coworkers, visitors, and/or supervisors.In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level.

EOE Statement

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.