Job description
Homeward is rearchitecting the delivery of health and care in partnership with communities everywhere, starting in rural America. Today, 60 million Americans living in rural communities are facing a crisis of access to care. In the U.S. healthcare system, rural Americans experience significantly poorer clinical outcomes. This trend is rapidly accelerating as rural hospitals close and physician shortages increase, exacerbating health disparities. In fact, Americans living in rural communities suffer a mortality rate 23 percent higher than those in urban communities, in part because of the lack of access to quality care.
Our vision is care that enables everyone to achieve their best health. So, we’re creating a new healthcare delivery model that is purpose-built for rural America and directly addresses the issues that have historically limited access and quality. Homeward supports Medicare-eligible beneficiaries by partnering with health plans, providers, and communities to align incentives – taking full financial accountability for clinical outcomes and the total cost of care across rural counties.
As a public benefit corporation and Certified B Corp™, Homeward’s mission and business model are aligned to address the healthcare, economic, and demographic challenges that make it challenging for rural Americans to stay healthy. Our Homeward Navigation™ platform uses advanced analytics to connect members to the right care and local resources that address social determinants of health and improve holistic health outcomes. Since many rural communities lack adequate clinical capacity, Homeward also employs care teams that supplement local practices and reach people who cannot otherwise access care.
Homeward is co-founded by a leadership team that defined and delivered Livongo’s products, and backed most recently by a $50 million series B co-led by Arch Ventures and Human Capital, with participation from General Catalyst for a total of $70 million in funding. With this leadership team and funding, Homeward is committed to bringing high-quality healthcare to rural communities in need.
The Opportunity
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.
What You’ll Do
- Provide telephonic and virtual support (with occasional in-person visits as needed) 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
- Coordinate 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
- 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
What You Brin g
- 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
- 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
Bonus Points:
- Experience in value-based care or risk-based arrangements
- Background in integrated care delivery or interdisciplinary team models
- Experience working with geriatric or Medicare populations
- Knowledge of trauma-informed care, harm reduction, or recovery-oriented practices
What Shapes Our Company:
- Deep commitment to one another, the people and communities we serve, and to provide care that enables everyone to achieve their best health
- Empathy, curiosity, humility, and joy in building solutions for those historically underserved
- Drive to deliver high-quality outcomes and create sustainable, scalable impact
- Strong focus on the sustainability of our business and scalability of our services to maximize our reach and impact
- Nurturing a diverse workforce with a wide range of backgrounds, experiences, and points of view
- Taking our mission and business seriously, but not taking ourselves too seriously– having fun as we build!
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
The base salary range for this position is $55,000-$63,000 annually. Compensation may vary outside of this range depending on a number of factors, including a candidate’s qualifications, skills, location, competencies and experience. Base pay is one part of the total compensation package that is provided to compensate and recognize employees for their work at Homeward Health. This role is eligible for an annual bonus, stock options, as well as a comprehensive benefits package.
At Homeward, we believe that a diverse set of backgrounds and experiences enrich our teams and allow us to achieve above and beyond our goals. If you do not have experience in the areas detailed above, we hope you will share your unique background with us in your application and how it can be additive to our teams.
Homeward is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Homeward is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.
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