Clinical Social Worker

HarmonyCares; Richmond (VA); On-site; USD 75,000 - 85,000; Full time

Benefits offered by this job

Quarterly bonus

Health insurance

Dental insurance

Vision insurance

Life insurance

401K with match

Tuition reimbursement

Paid time off

Paid orientation and training

Daytime hours

Job summary

HarmonyCares is seeking a Clinical Social Worker to join our home-based care team, managing a caseload of high-risk socially complex patients and performing face-to-face and telephonic psychosocial assessments with patients and caregivers.

You will design interventions to close gaps in care, provide short-term counseling, coordinate services, and work with community resources to support aging in place. The role emphasizes collaboration in a high-performing care team and daytime hours.

Qualifications

• Master’s degree in social work.
• Licensed as an LCSW or LISW (state dependent).
• Valid driver’s license and good driving record.
• Strong clinical judgment and clear written and verbal communication.
• Ability to plan time effectively and balance multiple tasks.

Responsibilities

• Manage a caseload of high-risk socially complex patients.
• Conduct face-to-face and telephonic psychosocial assessments with the patient and/or caregiver.
• Investigate psychological and social determinant barriers and design interventions to close care gaps.
• Provide short-term counseling services as needed.
• Coordinate services to ensure the patient/family understands a treatment plan.
• Work with care team to achieve quality and patient experience outcomes.
• Outreach to community-based services to support aging at home.
• Develop and implement shared goals of care with patient and family.
• Collaborate with community agencies to provide resources for maintaining independence.

Skills

Caseload management

Psychosocial assessment

Intervention design

Counseling

Care coordination

Team collaboration

Education

Master’s degree in social work

Job description

Overview

HarmonyCares is a leading national value-based provider of in-home primary care services for people with complex healthcare needs. Headquartered out of Troy, Michigan, HarmonyCares operates home-based primary care practices in 14 states. HarmonyCares employs more than 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 difficult 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.

Why You Should Want to Work with Us

• 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


• Day Time Hours (no holidays/weekends)


• Established in 11 states


• Largest home-based primary care practice in the US for over 28 years, making a huge impact in healthcare today!

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

Responsibilities

The Clinical Social Worker is an integral member of the care team and contributes to the care coordination for patients with multiple social stressors and/or behavioral health concerns. The Clinical Social Worker utilizes screening criteria for the coordination of quality health care services, reduction of service fragmentation, enhancement of quality of life, and the appropriate use of healthcare and community resources.

Essential Duties and 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

Qualifications

Required Knowledge, Skills and Experience

• 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


• The 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 able to communicate effectively with professional staff across many disciplines and programs


• Must have the 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 demonstrates an understanding of the need to foster performance improvement while achieving patient satisfaction and efficiency

Preferred Knowledge, Skills and Experience

• Experience in Care Management in community-based setting or equivalent


• Experience working with the chronic, complex and/or behavioral health population

As part of the hiring process , candidates may be required to complete a background check in the state of Florida. Additional information regarding the background screening can be found at the following link: https://info.flclearinghouse.com.

Posted Min Pay Rate

USD $75,000.00/Yr.

Posted Max Pay Rate

USD $85,000.00/Yr.

Pay Transparency

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