PRN Social Worker
Concerto Renal Services is an industry leader in nursing home dialysis. 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.
Summary/Objective
Concerto is seeking a PRN Social Worker to join its team! The PRN Social Worker provides psychosocial evaluation and counseling patients who reside in a Skilled Nursing Facility or rehabilitation center regarding dialysis related issues; works in collaboration with the multidisciplinary treatment team to incorporate psychosocial needs/concerns in planning care; documents on patients in dialysis chart in keeping with facility policies to meet Medicare and Quality Assessment Performance Improvement (QAPI) requirements. This position requires facilitation as needed between the dialysis unit and the Social Services Department of the SNF. Function as a member of the Interdisciplinary team. Reports directly to the Manager of Social Services.
Essential Functions
- Conducts psycho-social assessments on each patient and determines social work treatment plan compatible with a total medical treatment plan per CMS guidelines (initial, 90-day, annual and as needed for unstable patients). Track CIPA/POC for SNFs, coordinate POC meetings with RN, RD, MD and patient.
- Complete KDQOL and other tools as required
- Provide monthly documentation in every patients chart on caseload.
- Provide education to new patients regarding their Rights and Responsibilities as well as the Grievance Procedure as well as documentation that this was completed.
- Complete monthly tracking of patients needed for QAPI.
- Maintains professional working relationship with other staff of Concerto as well as in the skilled nursing facility. Participates in administrative and staff programs as required, including attending staff meetings and in-service meetings.
- Compiles and develops educational materials to be used as teaching aids in education of patients and staff as needed.
- Special projects as needed