Clinical Social Worker Ann Arbor, MI

Overview

Harmony Cares is a leading national value-based provider of in-home primary care services for people with complex healthcare needs. Headquartered out of Troy, Michigan, Harmony Cares operates home-based primary care practices in 14 states. Harmony Cares employs more than 200+ primary care providers to deliver patient-centered care under an integrated, team-based, physician-driven model.

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

• Every patient deserves access to quality healthcare.

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

• 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)
• Great Place to Work Certified
• Established in 11 states
• Largest home-based primary care practice in the US for over 28 years, making a huge impact in healthcare today!

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.

• 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

• 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

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

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