Clinical Social Worker

HarmonyCares is a leading national value-based provider of in-home primary care services for people with complex healthcare needs. Headquartered in Troy, Michigan, we operate home-based primary care practices in 14 states and employ over 200 primary care providers to deliver patient-centered care under an integrated, team-based, physician-driven model.

Our Mission

To bring personalized, quality-based healthcare to the home of patients who have difficulty accessing care.

Our Shared Vision

Every patient deserves access to quality healthcare.

Our Values

• The way we care is our legacy.
• Every interaction counts.
• Go the extra mile.
• Empower and support each other.

Responsibilities

• Manage a caseload of high-risk socially complex patients.
• Conduct face-to-face and telephonic psychosocial assessments with the patient and/or the caregiver.
• Investigate psychological and social determinant barriers and design appropriate interventions to assist in closing gaps in care and needs.
• Provide short-term counseling services as needed.
• Coordinate services to ensure the patient/family understands a treatment plan.
• Work as part of a collaborative care team to achieve optimal quality and patient experience outcomes, including being an active member in High-Risk Huddles.
• Provide outreach to community-based services to support the patient’s ability to age at home.
• Develop and implement shared goals of care with the patient and family.
• Work with community-based agencies to develop relationships and provide appropriate resources to assist in maintaining patient independence.

In this role, you may work with:

• Providers
• Support staff
• Care Team
• Patients
• Patient Families
• Caregivers
• Facilities
• 3rd party entities
• External Providers
• Community Resources

Requirements

• Master’s degree in social work.
• Must be licensed as an LCSW or LISW (depending upon state).
• Must maintain a valid driver’s license and good driving record.
• Ability to use sound clinical judgment and communicate clearly in both written and verbal formats.
• Above average computer skills.
• Ability to be self-directed and communicate effectively with professional staff across many disciplines and programs.
• Ability to plan time effectively, balance multiple tasks, work within stringent time frames, resolve problems, identify patient service trends, determine system improvements, and implement change.
• Ability to share expertise with others and demonstrate an understanding of the need to foster performance improvement while achieving patient satisfaction and efficiency.

Preferred Qualifications

• Experience in Care Management in a community-based setting or equivalent.
• Experience working with the chronic, complex, and/or behavioral health population.

Benefits

• Quarterly Bonuses – up to $5000 per year.
• Health, Dental, Vision, Disability & Life Insurance, and much more.
• 401K Retirement Plan (with company match).
• Tuition, Professional License, and Certification Reimbursement.
• Paid Time Off, Holidays, and Volunteer Time.
• Paid Orientation and Training.
• Daytime Hours (no holidays/weekends).

More details about the benefits we offer can be found at https://careers.harmonycares.com/benefits.

Pay

Individual compensation packages are based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related considerations.