HarmonyCares · 1 day ago

Clinical Social Worker (LCSW) Remote Michigan

2205 Jolly Road, Okemos, MI, US

Full-time

Remote

Mid Level

3+ years exp

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Hospital & Health Care

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Responsibilities

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.

Qualification

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Master’s Degree in Social WorkSocial Work LicenseCare Management ExperienceClinical JudgmentComputer SkillsHomebound Population ExperienceManaged Care ExperienceACOs ExperienceIntegrated Case ManagementBehavioral Health Experience

Required

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