Renal Social Worker

Concerto Renal Services•Jefferson Township, OH

About The Position

Concerto Renal Services is seeking a Social Worker to provide psychosocial evaluations, counseling, and quality-of-life support to dialysis patients in skilled nursing or rehabilitation facilities. As part of the interdisciplinary team, the role addresses patients’ psychosocial needs, ensures timely care planning in accordance with 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. The Social Worker conducts psychosocial assessments and screenings, develops individualized care plans, provides counseling and education, coordinates with patients, families, facility teams, and other stakeholders, and supports care transitions and access to community resources. The role also maintains accurate electronic medical record documentation and helps ensure compliance with CMS guidelines and Concerto policies. The position is based in the Greater Columbus Area and involves travel between facilities. The work environment is typical of a healthcare facility, with controlled temperatures, moderate noise, and potential exposure to infectious or contagious materials. The 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.

Requirements

Master’s degree in social work.
Valid state license; clinical licensure is not required.
Unencumbered driver’s license.
Intermediate computer skills.
Proficiency with MS Word, Excel, and Outlook.
Become proficient with Concerto-specific applications within 60 days of employment.

Nice To Haves

Healthcare or dialysis-related background preferred.

Responsibilities

Conduct initial, 90-day, annual, and as-needed psychosocial assessments.
Administer quality-of-life and depression screenings, including KDQOL and PHQ-2/9.
Develop individualized care plans in collaboration with the interdisciplinary team.
Provide counseling and education on dialysis, transplant options, and advance directives.
Deliver interventions that support treatment compliance and quality of life.
Develop patient education materials.
Lead monthly care plan meetings with patients and clinical staff.
Coordinate with facility teams, EQRS specialists, and regional managers.
Support new clinic openings and admissions.
Maintain accurate EMR documentation of assessments, interventions, and follow-ups.
Track and report productivity and outcomes.
Ensure compliance with CMS guidelines and Concerto policies.
Address patient and family concerns.
Assist with outpatient dialysis placement and discharge planning.
Connect patients with community resources and support grievance reporting.