What Jobs are available for Community Engagement in Albuquerque?

This position will be covering Albuquerque Westside and Sunport clinic
**PURPOSE AND SCOPE:**
Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment, rehabilitation and improved quality of life for our patients. In collaboration with the interdisciplinary team, informs, educates and supports staff in understanding the emotional, psychological and behavioral impact of Chronic Kidney Disease on the patient and family to ensure comprehensive quality care of our patients. Supports the Fresenius Kidney Care (FKC) commitment to the Quality Indicators and Outcomes and Quality Assessment and Improvement (QAI) Activities, including those related to patient satisfaction and quality of life and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FKC Quality Goals. This is an entry level MSW role.
**PRINCIPAL DUTIES AND RESPONSIBILITIES:**
+ Patient Assessment / Care Planning / Counseling
+ As a member of the interdisciplinary team, assesses patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment.
+ 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.
+ Utilizes FKC patient education programs, established social work theory and methods, social work focused interventions, and quality of life measurement instruments as part of assessment and care planning to address barriers and meet patient treatment goals.
+ Provides monitoring and interventions for the patient to adjust to dialysis and achieve optimal psychosocial status and quality of life.
+ Provides supportive counseling services to patients as permitted within the scope of their clinical training and state license.
+ Provides educational and goal directed counseling to patients who are seeking transplant.
+ Provides information and assists the team and patient with referral to community resources (home health services, vocational rehabilitation, etc.) to facilitate optimal treatment outcomes.
+ Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed, become employed or receive education.
+ 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 and/or family understand and make an informed decision about their care.
+ Knowledgeable of and adheres to FMCNA Social Work Policy and Measuring Patient Physical and Mental Function Policy, including documentation.
+ Documents based on MSW interaction and interventions provided to patient and/or family.
+ Quality
+ Provides psychosocial support and/or Social Work Focused Interventions to address non-adherence, quality outcome, and quality of life concerns for all patients based on acuity level.
+ Participates in monthly Quality review meetings with the interdisciplinary team. Reports on quality indicators related to adherence, such as Missed and Shortened Treatments, Quality of Life Trends, and Service Recovery.
+ Patient Education
+ Assesses patient knowledge of kidney disease for barriers that may affect adherence to treatment. Works with patient, family and health care team to provide education tailored to the patient's learning style, communication barriers, and needs.
+ With other members of the interdisciplinary team, provides appropriate information about all treatment modalities.
+ Facilitates the transplant referral process and collaborates with interdisciplinary team on transplant waitlist management.
+ Provides ongoing education to patient/family regarding psychosocial issues related to End Stage Renal Disease (ESRD) and all support services that are available.
+ Reviews patient rights and responsibilities, grievance information (company and network) and other facilities policies with patient and/or the patients' representative to ensure patients' understanding of the rights and expectations of them.
+ Collaborates with the team on appropriate QAI activities.
+ Patient Admission and Continuity of Care
+ Reviews Patient Rights and Responsibilities, Grievance Procedure & Important Numbers Handout, FKC Non-discrimination policy, DNR Statement (if applicable) and address any immediate needs/concerns.
+ Understands the referral and admission process and supports the clinic in regard to the patient needs for scheduling to maximize adherence and adjustment.
+ The Social Worker will interview the patient to identify root causes or concerns for the discharge request, (i.e. transfer to hospice, relocation, dissatisfaction with services or staff) and share causes/concerns with operational leadership.
+ Insurance and Financial Assistance
+ Collaborates and functions as a liaison for patient with Insurance Coordinators to address issues related to insurance.
+ In collaboration with Insurance Coordinators, provides information and education to patients about payment to dialysis (federal, state, commercial insurance, state renal programs, AKF HIPP, and entitlement programs).
+ Collaborates with the Insurance Coordinator of any changes to patient state that impacts insurance i.e. transplantation, discharged, loss of coverage, or extended travel.
+ Refers patients to patient billing solutions (PBS) department for questions/concerns in regard to treatment related bills
+ Staff Related
+ Assists with interview process and decision to hire new personnel if requested by SW Manager/Senior Manager.
+ Works with the administrative support staff to maintain updated patient resource lists (e.g. maintain updated list of transportation resources).
+ Provides training to staff pertaining to psychosocial topics as needed.
+ Contributes and participates with weekly team huddles. Discusses any urgent patient issues with staff.
+ Adheres to work defined caseload guidelines based on state regulatory requirements.
+ Performs other related duties as assigned.
**PHYSICAL DEMANDS AND WORKING CONDITIONS** **:**
+ The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
+ Travel required (if multiple facilities or home visits, if applicable)
**SUPERVISION:**
+ None
**EDUCATION AND REQUIRED CREDENTIALS** **:**
+ Masters in Social Work
+ Must have state required license
+ Meets the applicable scope of practice board and licensure requirements in effect in the State in which they are employed
**EXPERIENCE AND SKILLS** **:**
+ 0 - 2 years' related experience
**EOE, disability/veterans**

Sign On Bonus Available
**About this role:**
As a Social Worker with Fresenius Medical Care, you will provide psychosocial services for our dialysis clinic patients. You will work with the health care team to promote positive adjustment, rehabilitation, and improved quality of life for our patients. As well as support the clinic staff in understanding the emotional, psychological, and behavioral impact of chronic kidney disease on the patient and family.
**How you grow or advance** **in your career:** We believe in encouraging our employees to achieve their full potential by offering opportunities for advancement. We have a social work specific career ladder ranging from pre-licensed (in states where permitted), to three potential levels of facility social work, as well as a leadership path from Social Worker to Manager, Senior Manager and Senior Director.
**Our culture:** We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people.
**Our focus on diversity:** We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart.
At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
As a member of the nephrology health care team, you will assess the patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment.
+ Collaborates with the patient and health care team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of life.
+ Utilizes patient education programs, established social work theory and methods, social work focused interventions, and quality of life measurement instruments as part of the assessment and care planning to address barriers and meet patient treatment goals.
+ Provides monitoring and interventions for the patient to adjust to dialysis and achieve optimal psychosocial status and quality of life.
+ Assesses patient knowledge of kidney disease for barriers that may affect adherence to treatment.
+ Provides supportive counseling services to patients as permitted within the scope of their clinical training and state license.
+ Provides information and assists the team and patient with referrals to community resources (home health services, vocational rehabilitation, etc.) to facilitate optimal treatment outcomes.
+ Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed, become employed or receive education.
+ 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.
+ Participates in the discussion of patient DNR status in the facility to ensure patient and/or family understand and make an informed decision about their care.
+ Reports on quality indicators related to adherence, such as missed and shortened treatments, quality of life trends, and service recovery.
+ Works with patient, family and health care team to provide education tailored to the patient's learning style, communication barriers, and needs.
+ Provides educational and goal directed counseling to patients who are seeking transplant.
+ Facilitates the transplant referral process and collaborates with interdisciplinary team on transplant waitlist management.
+ Provides ongoing education to patient/family regarding psychosocial issues related to end stage renal disease (ESRD) and all support services that are available.
+ Reviews patient rights and responsibilities, grievance information (company and network) and other facilities policies with patient and/or the patients' representative to ensure patients' understanding of the rights and expectations of them.
+ Provide training to clinic staff pertaining to psychosocial topics as needed.
EDUCATION AND REQUIRED CREDENTIALS:
+ Masters in Social Work
+ Must have state required license
EXPERIENCE AND SKILLS **:**
+ 0 - 2 years' related experience
PHYSICAL DEMANDS AND WORKING CONDITIONS:
+ The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
+ Travel required (if multiple facilities or home visits, if applicable)
**EOE, disability/veterans**

**Become a part of our caring community and help us put health first**
The Medical Social Worker participates in the interdisciplinary care provided to home health patients. The Medical Social Worker functions to evaluate and develop a plan of care personalized to fit the patient's emotional and social needs. The Medical Social Worker provides direction and supervision of the Social Worker Assistant as required and when involved in the patient's plan of care. The Medical Social Worker works within CenterWell Home Health's company-specific policy and procedures, applicable healthcare standards, governmental laws, and regulations.
+ Assesses the patient's social and emotional state as it relates to his or her illness or injury, needs for care and his or her response to such treatment, and adjustments to care.
+ Assesses any relationships of the patient's medical and nursing needs in the home setting, financial resources, and available community resources.
+ Provides any appropriate action to obtain available community resources to assist in resolving issues that may be impeding the patient's recovery.
+ Instructs patients and families in treating and coping with social and emotional response connected with Provides ongoing assessment of patient and family needs and responses to teaching
+ Assists the physician and other health team members in understanding the significant social and emotional factors related to the patient's health Participates in the development and periodic re-evaluation of the physician's Plan of Care for the patient.
+ Observes, records, and reports changes in patients' condition and response to treatment to the Clinical Manager and the Participates in the discharge planning process
+ Participates as a member of the interdisciplinary care team in care coordination activities and acts as a resource to other health team members in the identification and resolution of patient needs
+ Supervises instructs and evaluates the performance of the Social Work Assistant (BSW) to assure that all medical social services are provided to patients in compliance with Company, government, and professional standards
+ Maintains and submits documentation as required by the company and/ or facility including any case conferences, patient/physician community contacts, visit reports progress notes, and confers with other health care disciplines in providing optimum patient care.
**Use your skills to make an impact**
**Required Skills/Experience**
+ Masters or doctoral degree from a school of social work accredited by the Council on Social Work Education.
+ Social Worker licensure in the state of practice; if required by state law or regulation.
+ A valid driver's license, auto insurance, and reliable transportation are required.
+ Proof of current CPR certification
+ Minimum of one year of experience as a social worker in a health care setting, home health, and/or hospice.
+ Knowledge of and the ability to assist with discharge planning needs, and to obtain community resources (housing, shelter, funeral/memorial service arrangements, legal, information and referral, state/federal financial and medication programs, and eligibility.
+ Excellent oral and written communication and interpersonal skills.
+ Knowledge of medications and their correct administration.
+ Ability to organize tasks, develop action plans, set priorities, and function under stressful situations.
+ Ability to be flexible in work hours and travel locally.
+ Ability to communicate effectively with patients and their family members and at all levels of the organization.
+ Maintains current licensure certifications and meets mandatory continuing education requirements.
+ Must read, write and speak fluent English.
+ Must have good and regular attendance.
+ Performs other related duties as assigned.
+ Valid driver's license, auto insurance and reliable transportation.
**Scheduled Weekly Hours**
1
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$59,300 - $80,900 per year
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.
**About Us**
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options

Thriveworks is currently seeking provisionally licensed individuals pursuing New Mexico Licensure as a LCSW in Albuquerque, NM to provide a mix of telehealth and face-to-face sessions. This role is eligible for a $7,500 ramp stipend for clinicians offering 25+ hours of availability per week.

At Thriveworks, we’re not just growing a practice—we’re building a movement to transform mental health care. Founded and led by clinicians, we understand what it takes to support our team so they can focus on what they do best: delivering exceptional care.

Who We Are
Thriveworks is a trusted mental health provider with 340+ locations and a nationwide hybrid care model. We serve over 175,000 clients annually through more than 1.7 million sessions, and those numbers are growing. As a clinician-founded and clinician-led organization, we offer the tools, support, and community you need to build a fulfilling, long-term career.

What We’re Looking For
  We’re hiring provisionally licensed clinicians in New Mexico who are ready to make a difference and grow with us. We’re especially interested in:

• Full-time availability (30 hours/week – 25+ client visits with 5 hours administrative time including supervisory meetings).

• Behavioral health generalists (open to seeing couples/children, with our support)

• Clinicians who value autonomy and also enjoy being part of a team

• Strong character matters — we value integrity, openness, and a commitment to quality care

• Flexibility in your work schedule  

Qualifications:

• Must live and be seeking licensure in the state where services are provided

• A graduate of an approved 60-credit hour program

• Approved by the board as an LMSW

• Graduate or Post-graduate work experience in a counseling setting treating depression and anxiety is required

• Graduate or Post-graduate work experience independently conducting intakes and diagnosing (preferred) according to the current DSM-5 under a licensed supervisor.
   

Compensation:
  Up to $1,700 based on licensure type/level, session volume, and bonus opportunities.  

What We Provide
We do the heavy lifting so you can focus on care. As a W2 employee, you’ll receive:

• $7, 00 ramp stipend for 25+ clinical hours/week

• Guaranteed, bi-weekly pay (no need to wait on reimbursement)

• FREE group and individual clinical supervision provided

• Paid orientation and annual pay increases

• PTO and flexible scheduling (7am–10pm, 7 days/week)

• No-show protection and caseload build within 90 days of credentialing

• Credentialing, billing, scheduling, and marketing support

• Health, dental, life, liability, and disability insurance options

• 401k with 3% employer match

• CEU reimbursement and free in-house training

• Opportunities for paid resident supervisory roles

• A vibrant clinical community—online and in person

• Monthly peer consultations and professional development

• A clear path for career growth and internal promotion
   

A Place to Belong and Thrive
Thriveworks is a certified Great Place to Work and a community built on inclusion, growth, and support. Whether you’re seeking mentorship, advancement, or a place where your impact matters, you’ll find it here. 93% of our team reports feeling included, and 87% say their work has purpose—and we think that says a lot.

Ready to Join Us?
Apply today to become part of a team that’s changing mental health care for clients and clinicians alike.

#LI-Hybrid #LI-MS1

Interested in joining Team Thriveworks? We're thrilled to meet you!

With Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team:

• Our recruiters and other team members will only email you from or an @thriveworks.com email address.
• Our interviews will take place over Google Meet (not Microsoft Teams or Zoom)
• We will never ask you to purchase or send us equipment.

If you see a scam related to Thriveworks, please report to You can contact with any questions or concerns.

Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified for to bring your unique perspective to our team.

By clicking Apply, you acknowledge that Thriveworks may contact you regarding your application.

Thriveworks is currently seeking provisionally licensed individuals pursuing New Mexico Licensure as a LCSW in Albuquerque, NM to provide a mix of telehealth and face-to-face sessions. This role is eligible for a $7,500 ramp stipend for clinicians offering 25+ hours of availability per week.

At Thriveworks, we’re not just growing a practice—we’re building a movement to transform mental health care. Founded and led by clinicians, we understand what it takes to support our team so they can focus on what they do best: delivering exceptional care.

Who We Are
Thriveworks is a trusted mental health provider with 340+ locations and a nationwide hybrid care model. We serve over 175,000 clients annually through more than 1.7 million sessions, and those numbers are growing. As a clinician-founded and clinician-led organization, we offer the tools, support, and community you need to build a fulfilling, long-term career.

What We’re Looking For
  We’re hiring provisionally licensed clinicians in New Mexico who are ready to make a difference and grow with us. We’re especially interested in:

• Full-time availability (30 hours/week – 25+ client visits with 5 hours administrative time including supervisory meetings).

• Behavioral health generalists (open to seeing couples/children, with our support)

• Clinicians who value autonomy and also enjoy being part of a team

• Strong character matters — we value integrity, openness, and a commitment to quality care

• Flexibility in your work schedule  

Qualifications:

• Must live and be seeking licensure in the state where services are provided

• A graduate of an approved 60-credit hour program

• Approved by the board as an LMSW

• Graduate or Post-graduate work experience in a counseling setting treating depression and anxiety is required

• Graduate or Post-graduate work experience independently conducting intakes and diagnosing (preferred) according to the current DSM-5 under a licensed supervisor.
   

Compensation:
  Up to $1,700 based on licensure type/level, session volume, and bonus opportunities.  

What We Provide
We do the heavy lifting so you can focus on care. As a W2 employee, you’ll receive:

• $7, 00 ramp stipend for 25+ clinical hours/week

• Guaranteed, bi-weekly pay (no need to wait on reimbursement)

• FREE group and individual clinical supervision provided

• Paid orientation and annual pay increases

• PTO and flexible scheduling (7am–10pm, 7 days/week)

• No-show protection and caseload build within 90 days of credentialing

• Credentialing, billing, scheduling, and marketing support

• Health, dental, life, liability, and disability insurance options

• 401k with 3% employer match

• CEU reimbursement and free in-house training

• Opportunities for paid resident supervisory roles

• A vibrant clinical community—online and in person

• Monthly peer consultations and professional development

• A clear path for career growth and internal promotion
   

A Place to Belong and Thrive
Thriveworks is a certified Great Place to Work and a community built on inclusion, growth, and support. Whether you’re seeking mentorship, advancement, or a place where your impact matters, you’ll find it here. 93% of our team reports feeling included, and 87% say their work has purpose—and we think that says a lot.

Ready to Join Us?
Apply today to become part of a team that’s changing mental health care for clients and clinicians alike.

#LI-Hybrid #LI-MS1

Interested in joining Team Thriveworks? We're thrilled to meet you!

With Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team:

• Our recruiters and other team members will only email you from or an @thriveworks.com email address.
• Our interviews will take place over Google Meet (not Microsoft Teams or Zoom)
• We will never ask you to purchase or send us equipment.

If you see a scam related to Thriveworks, please report to You can contact with any questions or concerns.

Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified for to bring your unique perspective to our team.

By clicking Apply, you acknowledge that Thriveworks may contact you regarding your application.