Senior Clinical Services Initiatives Manager

• Fully remote position.
• Manages Social Work schedules 
• Communicates regularly with FKC leadership, IWH leadership SW and RD team about operational updates. 
• Produces and analyzes utilization and metrics involving Social Work working hours and referral volume.
• Trains and onboards new SW staff supporting the CKD program
• Analyzes and leverage data to promote Social Work referral among KCEs, Payors and interdisciplinary team.
• Collaborates with IWH SW leadership on any changes affecting the SW role.
• Decision-maker for coverage plan, state assignments, sunsetting coverage of staff.

PURPOSE AND SCOPE: 

This position is responsible for the operational oversight of the development of the Chronic Kidney Disease non-dialysis (CKD-ND) curriculum employees will utilize in their roles supporting CKD-ND patients and programs. This role also develops/adapts a CKD patient facing education and reference materials to achieve the best outcomes possible for late stage CKD patients. This role may require expert review of existing platform education for the adaptation of CKD. The role will spend part of the time providing individual and group Medical counseling to CKD-ND patients using multiple platforms: telephonically, visual video platform or in person at selected clinic/program locations. 

PRINCIPAL DUTIES AND RESPONSIBILITIES:   

• Utilizes and develops CKD resources and CKD educational materials for patient and staff education. 

• Acts as a clinical resource to staff on matters related to patient care. 

• Maintains excellent rapport and effective working relationships with physicians, nurses, managers, and administration. 

• Builds rapport and maintains effective relationships with patients and families. This includes being non-judgmental and using interpersonal skills to connect with patients, providing them with care that is comprehensive, and evidence informed. 

• Interviews patients and families to assess and evaluate social, financial, environmental, and medical factors impacting status; review patient information obtained from medical records, and/or health care providers to determine patient needs. 

• Utilizes evidenced-based counseling and behavior change techniques. 

• Documents in record based on established standards of practice. 

• Collaborates with other members of the CKD care team regarding patient referrals; discharge and continuing care plans. 

• Interviews, assesses, and develops plan for the institutional needs of clinic patients, in collaboration with attending physicians. 

• As necessary, maintains effective written and verbal communications with physicians' offices. 

• Documents education and assessment of outpatients in the electronic medical record. 

• Develops and presents group education classes, in specialized areas to staff, professional organizations, the community at large, media and/or contract institutions. 

• Develops and expands professional proficiency in selected or assigned areas of specialty (example: CKD, diabetes, hypertension ,obesity, etc.). 

• Informs and educates staff of current developments in the CKD specialty area. 

• Performs other related duties as assigned. 

• Provides general direction, guidance an