Home-Based Clinical Social Worker – High-Impact Care

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

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.