PRN Renal Social Worker

Job summary

The PRN Social Worker provides psychosocial evaluations, counseling, and quality-of-life support to dialysis patients within skilled nursing or rehab facilities. They collaborate with interdisciplinary teams to develop care plans, maintain EMR documentation, and ensure compliance with CMS guidelines.

Job details

Job DetailsJob Location: Corporate Texas - Houston, TX 77058Why Work at Concerto? What is in it for you? Clinical/Corporate Career Advancement Flexible Schedule Minimum of two (2) monthly shift pick ups 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 PRN 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 PRN 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 Planning Conducts 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 & Education Provides 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 Collaboration Leads 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 & Compliance Maintains 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 Coordination Addresses patient and family concerns, assists with outpatient dialysis placement and discharge planning, and connects patients with community resources while supporting grievance reporting. QualificationsYou Might Be a Fit If You are… Compassionate and Empathetic A Critical Thinker and Problem-Solver An Individual who Thrives in a Team Environment An Individual with Excellent Communication Skills Purpose-driven What’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. Physical Requirements & Work Environment 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. 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. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

What you’ll do

The PRN Social Worker provides psychosocial evaluations, counseling, and quality-of-life support to dialysis patients within skilled nursing or rehab facilities. They collaborate with interdisciplinary teams to develop care plans, maintain EMR documentation, and ensure compliance with CMS guidelines.

Requirements

Candidates must hold a Master's degree in social work and a valid state license. Proficiency in Microsoft Office applications and the ability to travel between facilities are required.

Benefits

• Clinical career advancement • Corporate career advancement • Flexible schedule

Listed skills

• crisis intervention · Preferred
• Problem solving · Preferred
• Microsoft Excel · Preferred
• interdisciplinary collaboration · Preferred
• case management · Preferred
• Care Planning · Preferred
• Communication Skills · Preferred
• Microsoft Outlook · Preferred

Other relevant skills

Identified from the job description. Confirm important requirements above.

• Psychosocial assessment
• Care planning
• Counseling
• Patient education
• Interdisciplinary collaboration
• EMR documentation
• Crisis intervention
• Discharge planning
• Case management
• Advocacy
• Communication skills
• Problem-solving
• MS Word
• Excel
• Outlook
• End-Stage Renal Disease
• Empathy
• Lifting Ability
• Valid Driver's License
• Compassion
• Interdisciplinary Collaboration
• Discharge Planning
• Microsoft Word
• Microsoft Excel
• Nursing Homes
• Care Planning
• Social Work
• Communication
• Computer Literacy
• Critical Thinking
• Dialysis
• Electronic Medical Record
• Leadership
• Hemodialysis
• Health Assessment
• Problem Solving
• Life Support
• Microsoft Outlook
• Rehabilitation
• Patient Education And Counseling
• Psychosocial Assessments
• Team Leadership
• Therapeutic Support Staff
• Coordinating

Job areas

• Healthcare
• Social Services
• Renal Social Worker
• Family / School / General Social Worker
• Social Work and Counselling Professionals
• Child, Family, and School Social Workers