What are the responsibilities and job description for the Clinical Social Worker position at HarmonyCares?

Overview

HarmonyCares is one of the nation’s largest home-based primary care practices. HarmonyCares is a family of companies all dedicated to providing high-quality, coordinated health care in the home. This includes HarmonyCares, HarmonyCares Medical Group, HarmonyCares Home Health and HarmonyCares Hospice.

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)
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!

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

Responsibilities

The Clinical Social Worker works collaboratively with the Care Team to provide care management services and helps address an individual’s ability to maintain independence in the home, chronic care management, end of life decisions, cognitive / functional status, frequency acute care utilization, and a patient / caregiver support system. As a Clinical Social Worker you will :

Manage a caseload of high risk socially complex patients

Conduct face to face and telephonic psychosocial assessment 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

Coordinate services to ensure the patient / family understands a treatment plan

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

Provide feedback to the home based primary care physician(HBPCP) to ensure he / she is aware of any early patient changes

Participate in Multidisciplinary Care Planning Rounds

Conduct additional psychosocial assessments as patient needs change

Work with Community based agencies to develop relationships and provide appropriate resources to assist in maintaining patient independence

Other duties / projects as assigned

Participates in quality improvement activities aimed to improve patient-population outcomes and associated processes.

Qualifications

Required Knowledge, Skills and Experience

Master’s Degree in Social Work

Current unrestricted Social Work License or Limited License with preceptor or must be a licensed and boarded CSW or become licensed and boarded within 1-year

Must maintain a valid driver’s license and good driving record

3 years of experience in Care Management in community based setting or equivalent

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 with the homebound population, managed care, ACO, medical home or integrated case management environment is preferred

Preferred Knowledge, Skills and Experience

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

Pay Transparency

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

Notice

HarmonyCares and HarmonyCares Hospice are not affiliated with Harmony Hospice Care. HarmonyCares Hospice does not conduct business in OH. HarmonyCares Hospice conducts business in MI, VA, WI, TX, IN, IL.

Salary : $5,000

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