Corewell Health·Kentwood, Michigan
Collaborate with an interdisciplinary team to assist senior patients with complex psychosocial needs, including discharge planning and resource coordination. Conduct psychosocial assessments and provide short-term therapeutic support to patients and their families.
About Ambulatory Pharmacy Geriatric Clinic / Advanced Primary Care Specialized Care and Support for Seniors If you are 64 or older and have health problems like diabetes, high blood pressure, heart disease, or COPD, Advanced Primary Care has everything you need in one place.
Designed with seniors in mind, it focuses on these and other common concerns to support your overall health.
At Advanced Primary Care, we specialize in patients who are 65+ with multiple chronic conditions like diabetes, hypertension, heart failure and COPD.
Join our multidisciplinary team consisting of physicians, APPs, nurses, pharmacists, social workers and MAs.
We collaborate together to deliver innovative and quality care.
Advanced Primary Care offers more than great doctors.
You’ll get 24/7 support, longer appointments, help with transportation, access to onsite pharmacists, lab, and imaging (at select locations), and guidance on medications and financial assistance.
Advanced Primary Care locations: Alpine Ave, Holland, Muskegon https://corewellhealth.org/care-and-specialties/primary-care/advanced-primary-care Scope of work To work collaboratively with members of an interdisciplinary team in order to assist patients and families with complex psychosocial needs.
These interventions may include, but are not exclusive to: alternate site coordination, discharge planning, addressing all forms of identified abuse/neglect, adoption, substance use disorders, assisting with end of life decisions, providing appropriate referral resources, bereavement support, adjustment counseling, facilitating guardianships and behavioral health concerns (including psychiatric transfers).
Conducts psychosocial assessments with patient and or family to assist with identified psychosocial needs or who may be identified to require an alternate site of care post discharge and executes a plan.
Communicates with alternate sites of care and/or community agencies in an effective and timely manner, to best address the patient’s needs.
Completes and documents the assessment and plan in the electronic medical record, accurately reflecting the patient’s current condition, situational factors, transition of care needs and psychosocial imperatives.
Provides consultation and resources to members of the healthcare team.
Responsible for maintaining relevant and current knowledge of community resources.
Participates or assists in department, regional, or statewide stakeholder committees, projects etc., as assigned/requested.
Develops and maintains current knowledge of federal and state regulations as they pertain to role.
Provide short term therapeutic support as appropriate for setting and location.
Required Master's Degree Social Work 2 years of relevant experience healh care related experience post obtaining Master's Degree in Social Work Preferred Care management experience Preferred Experience in individual, family assessment, crisis intervention, grief and loss counseling, and discharge planning preferred Preferred Master Social Worker (MSW-Master) - State of Michigan Upon Hire required
Requires a Master's Degree in Social Work and at least 2 years of relevant healthcare experience post-degree. Preference is given to candidates with care management experience and Michigan state licensure.
Market context
Behavioral health openings in Michigan often draw steady interest because employers need independently licensed clinicians who can provide consistent weekly availability. For this LMSW role, competition may center on licensure status, schedule flexibility, and readiness to meet a 25-session, 30-hour weekly commitment. Review the AI-summarized requirements and benefits here to save time versus reading the full posting, then confirm your Michigan licensure and availability before applying.