Responsible for counseling, assessing, and assisting geriatric patients and their caregivers. Principal Accountabilities: 1. Provides psychosocial assessments to determine patient needs, makes appropriate referrals, provides counseling and supportive services to patients/families 2. Collaborate with clinicians on geriatric plans of care 3. maintains and utilizes a current knowledge base of community resources, agencies, and refers patients/caregivers 4. provide assistance with end of life and bereavement 5. educate, assist and intervene with patients and families on legal options such as advance directives 6. Utilize the EMR to document assessments, progress notes, and patient interactions 7. Complete appropriate forms to facilitate referrals 8. utilize AHS PRIDE values during patient, caregiver, and team interactions 9. Complete interventions to promote continuity of care after patient discharge from hospital/facility 10. Other relevant duties as assigned Required: 1. MSW from an accredited school of social work. 2. NJ LSW or LCSW required. 3. Previous social work experience preferred. Preferred: 1. prior experience with Epic 2. prior outpatient experience Atlantic Medical Group is a physician-led and physician-governed organization that delivers the highest quality health care, at the right place, the right price, and the right time. We are a multispecialty physician group with more than 1,000 doctors, nurse practitioners and physician assistants at over 300 locations throughout northern and central New Jersey and northeast Pennsylvania. Our mission is to deliver exceptional care recognizing the unique needs of all those we serve. Our vision is to achieve the best outcomes with our patients at the center of the physician-led team, driven by service, innovation and continuous learning. Our integrated network offers seamless access to Atlantic Health System’s entire health care continuum and our nationally and regionally ranked hospitals. In collaboration with Atlantic Health System, several of our practices offer urgent care and walk-in services. In addition to primary care physicians, the team includes specialists that care for patients in all aspects of their health from pediatrics to geriatrics and everything in between. We make health decisions easier for patients with enhanced access to referrals. EEO STATEMENT Atlantic Health System, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.