Dialysis Social Worker: Care Planning & Counseling

Why work at Concerto? What is in it for you?Clinical/Corporate Career AdvancementMedical, dental, vision, short- and long-term disability benefitsPet Insurance401k match of 50% up to 6% of salaryPTOPaid HolidaysDiscounts through NectarEmployer Paid Employee Assistance ProgramYou Might Be a Fit If You are…Compassionate and EmpatheticA Critical Thinker and Problem-SolverAn Individual who Thrives in a Team EnvironmentAn Individual with Excellent Communication SkillsPurpose-drivenPhysical Requirements & Work EnvironmentThe role requires the ability to lift at least 20 pounds and maintain strong mental, visual, and auditory focus when interacting with patients, staff, and customers. The work environment is typical of a healthcare facility, featuring controlled temperatures and moderate noise levels, with potential exposure to infectious or contagious materials. Additionally, the position involves travel between different facilities, necessitating flexibility and mobility.Who Are We?Concerto Renal Services is an industry leader in sub-acute hemodialysis within a skilled nursing facility and/or long-term care facility. We are a rapidly expanding business with a simple mission: reimagining dialysis care, one community at a time. Our model focuses on ensuring those with end-stage renal disease receive the best possible care through a more convenient, centralized, continuous care model.Why is this Role Essential?Concerto is seeking a Social Worker to join its team! This role provides psychosocial evaluations, counseling, and quality-of-life support to dialysis patients in Skilled Nursing or rehab facilities. As part of the interdisciplinary team, the Social Worker addresses psychosocial needs, ensures timely care planning per CMS guidelines, and maintains detailed documentation to meet QAPI standards. The position reports to the market Team Lead and indirectly to the Director of Social Services.What Will You Do?Patient Assessment & Care PlanningConducts psychosocial assessments (initial, 90-day, annual, and as-needed), administers quality-of-life and depression screenings (KDQOL, PHQ-2/9), and develops individualized care plans in collaboration with the interdisciplinary team.Therapeutic Support & EducationProvides counseling and education on dialysis, transplant options, and advance directives; delivers interventions to support treatment compliance and quality of life; and develops patient education materials.Interdisciplinary CollaborationLeads monthly care plan meetings with patients and clinical staff, coordinates with facility teams, EQRS specialists, and regional managers, and supports new clinic openings and admissions.Documentation & ComplianceMaintains accurate EMR documentation of assessments, interventions, and follow-ups; tracks and reports productivity and outcomes; and ensures compliance with CMS guidelines and Concerto policies.Advocacy & Resource CoordinationAddresses patient and family concerns, assists with outpatient dialysis placement and discharge planning, and connects patients with community resources while supporting grievance reporting.You Might Be a Fit If You are…Compassionate and EmpatheticA Critical Thinker and Problem-SolverAn Individual who Thrives in a Team EnvironmentAn Individual with Excellent Communication SkillsPurpose-drivenWhat’s Required?Master’s degree in social work.Healthcare or dialysis related background preferred.Must hold a valid state license; clinical not required.Unencumbered driver’s license.Intermediate computer skills and proficiency with MS Word, Excel, Outlook as well as becoming proficient with Concerto specific applications within 60 days of employment. #J-18808-Ljbffr Concerto Renal Services