• Provides on-going follow-up for children and adults in the long-term survivorshipprogram, as well as provides coverage for 33 sub-specialty clinics, sickle cell anemiaprogram, and auto islet transplant clinic.• Conducts comprehensive psychosocial assessments and participates in care planningwith inter-disciplinary teams.• Educates survivors and their loved ones on resources and provides education within subspecialtyclinics in relation to a variety of different illnesses.• Offers support/counseling and provides referrals for families/individuals in all clinicsappropriate to their needs.• Assesses for high-risk needs/crisis intervention.

• Provided intensive case management for 130 clients diagnosed with End Stage RenalDisease within three outpatient dialysis clinics.• Assessed ability of clients to cope and adjust to End Stage Renal Disease and providedappropriate interventions.• Provided counseling and education for individuals and families regarding kidney diseaseand end of life issues, including grief and loss and advance care directives.• Advocated for self-determination and addressed ethical dilemmas faced by patients andfamilies.• Conducted psycho-social assessments and care planning with an inter-disciplinary teamapproach.• Provided appropriate referrals for client needs.

• Oversaw a case load of 140 clients diagnosed with End Stage Renal Disease andconducted psychosocial assessments for adults with dialysis specific needs withinoutpatient medical settings.• Provided education and counseling for individuals and families regarding kidney diseaseand end of life issues.• Provided intensive case management and established care plans with individuals andinter-disciplinary team to achieve client goals.• Provided appropriate referrals for client needs.• Tracked reports and statistical data re: dialysis specific needs.

• Oversaw a case load of 140 clients diagnosed with End Stage Renal Disease andconducted psychosocial assessments for adults with dialysis specific needs withinoutpatient medical settings.• Provided education and counseling for individuals and families regarding kidney diseaseand end of life issues.• Provided intensive case management and established care plans with individuals andinter-disciplinary team to achieve client goals.• Provided appropriate referrals for client needs.• Tracked reports and statistical data re: dialysis specific needs.

• Provided in-home intensive individual and family therapy in addition to casemanagement.• Developed treatment plans with individuals and families to address, prioritize, and workthrough issues.• Prepared and maintained high quality client records.• Worked closely with Adult and Child Protection to maintain client safety and ensuregoals were being met.