Licensed Clinical Social Worker
About The Position
Join us in reimagining rural healthcare! We're seeking a full-time Licensed Clinical Social Worker (LCSW) who is passionate about advancing health equity and delivering high-impact, person-centered care to individuals navigating complex medical and social challenges. Social Workers at Homeward play a critical role in supporting the whole person by addressing behavioral health needs, psychosocial factors, and barriers to care. You'll collaborate closely with interdisciplinary teams to create lasting change for patients and communities.
Requirements
- Licensed Clinical Social Worker (LCSW) in the state of Michigan
- Master's Degree in Social Work (MSW) from an accredited institution
- 2+ years of experience in care coordination, behavioral health, medical social work, or community-based case management
- Passion for delivering care in rural and underserved communities
- Experience working with geriatric or Medicare populations
- Experience assessing behavioral health needs, establishing plan of care and therapeutic support.
- Deep familiarity with local and state-level social service systems, including Medicaid, housing, food assistance, and behavioral health resources
- Strong clinical judgment, interpersonal skills, and documentation abilities
- Comfort using EHR systems and virtual care platforms
Nice To Haves
- Experience in value-based care or risk-based arrangements
- Background in integrated care delivery or interdisciplinary team models
- Strong understanding and use of technology and AI platforms
- Knowledge of trauma-informed care, harm reduction, or recovery-oriented practices
Responsibilities
- Provide telephonic and virtual support to patients, families, and caregivers
- Conduct comprehensive biopsychosocial assessments and develop care plans that address behavioral health, care coordination, and social determinants of health
- Identify and address barriers to care, including housing instability, food insecurity, transportation, caregiver strain, and behavioral health needs
- Use motivational interviewing and trauma-informed, strengths-based approaches to promote engagement and behavior change
- Assist with the coordination of care transitions between hospital, SNF, rehab, and home settings to ensure continuity of care
- Serve as a key mental health resource navigator, connecting patients with local community organizations, public programs, and behavioral health services
- Collaborate across interdisciplinary teams-including Navigators, RN Care Managers, Clinicians and CHWs-to deliver whole-person care
- Collaborate with outside organizations beyond Homeward to meet member's needs (calling out to facilities, resource organizations, insurance resources, etc.)
- Document patient interactions, care plans, referrals, and progress in a timely, accurate, and compliant manner
- Support quality performance on CMS measures related to experience, outcomes, and social needs
Benefits
- Medical, dental, and vision insurance with 100% of monthly premium covered for employees
- Competitive salary and possible equity grant
- Ongoing bonus opportunities
- Travel reimbursement
- Loan repayment support
- Company-sponsored 401k plan + match
- Generous paid time off
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Industry
Professional, Scientific, and Technical Services
Number of Employees
51-100 employees
