Primary Care LCSW

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. 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)
• 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. 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.
Manage a caseload of high-risk socially complex patients
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
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
Care Team

• Facilities
• Community Resources

Master's degree in social work
Must be licensed as an LCSW or LISW (depending upon state)
Above average computer skills
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