Clinical Social Worker

Company Overview

HarmonyCares is a leading national value‑based provider of in‑home primary care services for people with complex healthcare needs. Headquartered in Troy, Michigan, HarmonyCares operates home‑based primary care practices in 14 states and employs more than 200 primary care providers. The organization delivers patient‑centered care under an integrated, team‑based, physician‑driven model.

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

Shared Vision – Every patient deserves access to quality healthcare.

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

Benefits

• Quarterly bonuses – up to $5,000 per year
• Health, dental, vision, disability & life insurance, and more
• 401(k) retirement plan with company match
• Tuition, professional license, and certification reimbursement
• Paid time off, holidays, and volunteer time
• Paid orientation and training day
• Day‑time hours (no holidays/weekends)
• Established presence in 11 states
• Largest home‑based primary care practice in the U.S. for over 28 years
• Full details at https://careers.harmonycares.com/benefits

Responsibilities

• Manage a caseload of high‑risk, socially complex patients
• Conduct face‑to‑face and telephonic psychosocial assessments with patients and/or caregivers
• Investigate psychological and social‑determinant barriers and design appropriate interventions to close gaps in care
• Provide short‑term counseling services as needed
• Coordinate services to ensure patients/families understand treatment plans
• Collaborate with the care team to achieve optimal quality and patient‑experience outcomes, including active participation in High‑Risk Huddles
• Provide outreach to community‑based services to support patients’ ability to age at home
• Develop and implement shared goals of care with patients and families
• Work with community‑based agencies to develop relationships and provide resources that maintain patient independence
• Interact with providers, support staff, care team members, patients, families, caregivers, facilities, third‑party entities, external providers, and community resources

Qualifications

• Master’s degree in social work
• Licensed as an LCSW or LISW (depending on state)
• Valid driver’s license with a good driving record
• Strong clinical judgment and clear written and verbal communication skills
• Above‑average computer proficiency
• Self‑directed with the ability to communicate effectively across multiple disciplines and programs
• Excellent time‑management skills; able to balance multiple tasks, meet stringent deadlines, resolve problems, identify service trends, propose system improvements, and implement change
• Ability to share expertise, foster performance improvement, and achieve patient satisfaction and efficiency
• Preferred: Experience in care management within a community‑based setting or equivalent
• Preferred: Experience working with chronic, complex, and/or behavioral health populations

As part of the hiring process, candidates may be required to complete a background check in the state of Florida. More information is available at https://info.flclearinghouse.com.