Social Worker

• Provide psychosocial services to in-center and home dialysis patients
• Assess patients’ psychosocial status, strengths, and needs affecting rehabilitation and treatment outcomes
• Participate in care planning and develop interventions with patients and the healthcare team
• Monitor and support patients adjusting to dialysis and improving psychosocial status and quality of life
• Provide supportive, educational, and goal-directed counseling, including transplant counseling
• Refer patients to community, vocational, educational, home health, and rehabilitation resources
• Assist with advance directive and DNR discussions with patients, families, physicians, and nurses
• Document social work interactions and interventions
• Provide psychosocial support for adherence, quality outcomes, and quality-of-life concerns
• Participate in monthly quality review meetings and report adherence and quality indicators
• Educate patients and families about kidney disease, treatment modalities, ESRD psychosocial issues, rights, responsibilities, and support services
• Facilitate transplant referrals and collaborate on transplant waitlist management
• Support patient admission, continuity of care, scheduling, and discharge-request investigations
• Liaise with Insurance Coordinators regarding coverage, payment, renal programs, AKF HIPP, and entitlement programs
• Refer billing questions to the patient billing solutions department
• Assist with hiring when requested, maintain patient resource lists, train staff, and participate in weekly team huddles
• Perform other related duties as assigned

Master Social Worker – MSW

• Manage an assigned caseload and coordinate care across the health care continuum
• Collaborate with patients, caregivers, healthcare providers, and external partners to support safe transitions of care
• Prepare patients for discharge, including supportive care, end-of-life decisions, community resources, goal setting, and long-term planning
• Conduct interviews and arrange post-acute interventions, including home visits and behavioral health service coordination
• Assess readmission risk and outpatient barriers to care
• Initiate and assist patients with advance directives
• Facilitate communication of clinical information and care plans among hospitalists, specialists, PCPs, and other providers
• Communicate financial obligations and discharge information to patients, families, MPOA, and payers
• Obtain authorization for services and complete hand-offs to appropriate case management teams
• Promote integrated care collaboration among healthcare team members, patients, and families
• Maintain case management metrics and manage the caseload
• Advocate for patients and monitor care quality using standards of care and evidence-based practice guidelines
• Perform other related duties as assigned or requested

Social Worker, Float Pool, Per Diem

• Deliver high quality behavioral healthcare
• Provide patient care in the Scottsdale clinic
• Contribute as a critical part of the clinical team

Licensed Clinical Social Worker

• Provide high-quality behavioral healthcare
• Deliver patient care in the Chandler Clinic
• Provide evidence-based, medically driven mental healthcare services in an outpatient setting
• Work with adult and/or child and adolescent populations
• Contribute as a critical member of the clinical team