Medical Social Worker

Tzu Chi International; Singapore; On-site; SGD 40,000 - 60,000; Full time

Job summary

Tzu Chi International in Singapore is seeking a dedicated social worker to collaborate with a multidisciplinary team to provide essential services for ESRD patients and their families. Responsibilities include case admission, management, programme planning, and volunteer supervision.

The ideal candidate has a degree in social work, proven case management skills, and a commitment to enhancing the well-being of patients through effective programming and community resources.

Qualifications

• Experience in managing cases and conducting assessments.
• Ability to develop, implement, and review care plans for high-risk patients.
• Strong communication skills for volunteer and patient engagement.

Responsibilities

• Manage referrals and intake process for the dialysis centre.
• Conduct regular patient check-ins during dialysis sessions.
• Plan and implement patient-centred programmes and psychoeducation.
• Engage and supervise volunteer groups effectively.
• Maintain accurate case records and prepare reports as needed.

Skills

Case management

Patient assessment

Programme planning

Volunteer supervision

Education

Degree in Social Work or related field

Job description

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 mobilisation 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 audit processes by providing required documentation and participating in review exercises.