The Social Worker provides comprehensive psychosocial evaluations and clinical support to geriatric residents in a skilled nursing facility. They serve as the primary coordinator for discharge planning and transitions of care while collaborating with the healthcare team.
The Social Worker is responsible for providing comprehensive social work services to the geriatric population within the Skilled Nursing Facility, specifically focusing on short-term rehabilitation and long-term care residents. This role facilitates the adjustment of residents and their families to the facility, provides ongoing clinical support, and serves as the primary coordinator for discharge planning and transitions of care.
Minimum two years post-graduate experience as a social worker in a similar type of healthcare setting is strongly preferred.
Education: BNN (Bachelors Degree Non Nursing)
Bachelor's degree in Social Work, Psychology, Mental Health Counseling, or related field.
Provides psychosocial evaluation to meet the patient's medically related social needs, including assessment of the social and emotional factors related to the patient's illness, their need for care, response to treatment, and adjustment to care.
Facilitates discharge planning to meet the patient's needs for continued care (e.g., home care, sub-acute rehabilitation, acute care transfer) by identifying psychosocial, environmental, and financial problems.
Collaborates with the healthcare team (including RNs and Case Managers) to establish and implement an optimal discharge plan, keeping patient and family informed.
Documents appropriately and timely (by end of business day) to reflect continuous progress in the plan of care, ensuring all regulatory components are met.
Assesses and facilitates financial needs by utilizing charity funds, assisting with applications (disability papers, etc.), and collaborating with the Business Office and outside agencies.
Maintains and implements rules, regulations, policies, and laws, including Joint Commission, that impact the Social Work field. Other Duties
Required: Other duties as assigned.
Travel for this position is sometimes required.
Participation in community and employee engagement activities is required.
The pay for this position ranges from $28.13-$44.57 per hour.
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Joining the Guthrie team allows you to become a part of a tradition of excellence in health care. In all areas and at all levels of Guthrie, you’ll find staff members who have committed themselves to serving the community.
The Guthrie Clinic is an Equal Opportunity Employer.
The Guthrie Clinic is a non-profit, integrated, practicing physician-led organization in the Twin Tiers of New York and Pennsylvania. Our multi-specialty group practice of more than 500 physicians and 302 advanced practice providers offers 47 specialties through a regional office network providing primary and specialty care in 22 communities. Guthrie Medical Education Programs include General Surgery, Internal Medicine, Emergency Medicine, Family Medicine, Anesthesiology and Orthopedic Surgery Residency, as well as Cardiovascular, Gastroenterology and Pulmonary Critical Care Fellowship programs. Guthrie is also a clinical campus for the Geisinger Commonwealth School of Medicine.
Market context
Behavioral health roles in New York are often in steady demand, especially for clinicians who can support diverse age groups and handle assessments or admissions. These positions can be competitive because employers commonly look for independent licensure, while also considering associate-level candidates with clear growth toward full licensure. Review the AI-summarized requirements and benefits here to save time, then confirm your licensure status and assessment experience before applying.
