Job Opportunities API

Role Overview: Work alongside a multidisciplinary team (MDT) of specialist doctor, nurses, allied health and community volunteers to provide social work services and programmes to ESRD patients in need and their families. Key Duties & Responsibilities • Case Admission and Assessment • Manage the referral process for the dialysis centre, including intake screening, admission, financial counselling, slot placement, and orienting new patients into the centre. • Conduct needs assessment for all referrals, formulating tailored care plans for patients and their families. • Collaborate closely with referral partners and the multidisciplinary team to facilitate smooth care transitions for patients. • Provide supportive accompaniment to patients as they adapt to and settle into the dialysis centre environment. • Case Management • Conduct regular check-ins with patients during dialysis sessions to monitor well-being and maintain therapeutic rapport. • Work closely with MDT and volunteers to identify and flag patients at risk of psychosocial deterioration, treatment non-adherence, or financial hardship for early intervention. • Conduct home visits or hospital visits where necessary for a more holistic understanding of patients’ needs and care planning. • Develop, implement, and regularly review care plans for patients identified as high-risk or complex cases. • Connect patients with appropriate community resources and advocate on behalf of patients to address barriers to care • Programme Planning and Implementation • Plan, design, and implement patient-centred programmes and psychoeducation sessions with a focus on improving quality of life, well-being, and social integration. • Coordinate programme logistics including venue arrangement, registrations, volunteer mobilization and engagement of facilitators or speakers. • Continuously monitor and evaluate programme effectiveness, gathering feedback from participants and stakeholders to drive ongoing improvements. • Volunteer Engagement and Supervision • Serve as the primary point of contact for befriender volunteer group, providing training to new and existing volunteers as required. • Review volunteer befriending records periodically, following up closely with volunteers on cases requiring social service attention or intervention. • Coordinate volunteer involvement in relevant social service programmes, events, and outreach activities. • Provide regular supervision and ongoing support to befriender volunteers to ensure safe and effective service delivery. • Support management in volunteer engagement initiatives to cultivate a committed volunteer pool • Provide management with feedback on volunteer performance, highlighting areas for improvements for the befriending programme. • Documentation and Reporting • Maintain timely and accurate case records in accordance with organisational and professional standards. • Prepare periodic reports on the progress of social services and programmes for management review • Support audits processes by providing required documentation and participating in review exercises. Requirements • Degree in Social Work or equivalent (recognised by SASW) • Relevant experience in medical or community social work preferred • Strong interpersonal, communication and organisational skills • Ability to work collaboratively in a multidisciplinary setting