Licensed Clinical Social Worker

How We Show Up for Our Patients:

As a leading provider of outcomes-driven care for individuals and communities living with chronic conditions, Somatus is helping patients across the country enjoy More Healthy Days at Home.

Care at Somatus goes beyond treatment. Through a whole-person approach, we deliver outcomes-driven integrated care and show up #Somatus Strong for our patients and teammates. We partner closely with health plans, health systems, and provider groups to support patients with, or at risk of developing, cardio, kidney, metabolic, or other chronic conditions.

We hire the brightest and boldest - talent driven by purpose and impact. Since our founding in 2016, our growth trajectory isn’t just a milestone - it’s a signal. Our leadership values culture and leads with intention as we remain dedicated to driving clinical excellence.

Does this sound like you? Keep reading.

Our heritage gives us a unique perspective on inpatient and outpatient dialysis care. We have taken our knowledge and past experiences to hold ourselves to a higher standard when it comes to providing care for patients. We work with patients and their providers to identify a modality that suits their needs and lifestyle.

As a Licensed Clinical Social Worker you will assess, educate and collaborate with patients on care planning that addresses everything from work, travel and financial concerns to emotional support. Provide individuals, families, and groups with the psychosocial support needed to cope with chronic, acute, or terminal illnesses. Services include advising patients and/or family/caregivers, providing patient education and counseling, insurance coordination, and making referrals for other services.

The Social Worker may also provide care and case management, or interventions designed to promote health, prevent disease, and address barriers to access to healthcare.

This is a on-site role where the candidate will work within the Somatus Outpatient Clinics in Northern VA.

• Participates in care planning in collaboration with the patient and healthcare team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of life.
• Assesses patient knowledge of kidney disease for barriers that may affect adherence to treatment.
• Assess social determinants of health that may impact treatment and assist with identifying community resources to address needs.
• Assist patient and/or family/caregiver in completing applications for services and/or resources.
• Provides ongoing education to patients/family regarding psychosocial issues related to chronic kidney disease (CKD) and End Stage Renal Disease (ESRD) and all support services that are available.
• Enables support groups and family members in dealing with and understanding the needs of the patient.
• Develops detailed and error-free case notes involving mental health and risk assessments.
• Adjusts treatment plans in compliance with changes in the status of the patient.
• Provides information and assists the team and patient with referral to community resources (home health services, vocational rehabilitation, etc.) to facilitate optimal treatment outcomes.
• Provides supportive and goal directed counseling to patients who are seeking transplant.
• Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes, if necessary, with the healthcare team and the patient’s family/support persons.
• In collaboration with the physician and nurse, participates in the discussion of patient DNR status in the facility to ensure patient understanding and informed decision making.
• Utilize motivational interview techniques to address non-adherence and quality of life concerns for all patients.
• Collaborates with Facility Management and Accounting/Billing to address patient issues related to insurance or copay concerns.
• Conduct in-center and face to face visits as necessary to assess patient needs and implement a plan of care (up to 50% same day travel with this role).
• Educate patients on their insurance options including Group Health…