Remote Case Manager & Social Worker (Travel 25-50%)

CVS Health; Baraga Township (MI); Remote; USD 47,000 - 101,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision coverage

Paid time off

Retirement plan

Job summary

CVS Health is seeking a dedicated care coordinator to manage long-term rehabilitation and psychosocial needs for members, coordinating case management, home care and community resources. The role emphasizes reducing readmissions and improving quality of life across care settings.

You will assess members, develop individualized plans, and collaborate with providers and care teams. Travel is required in Wayne and Macomb Counties, with full-time hours and a comprehensive benefits package.

Qualifications

• Minimum 2 years experience in medical social work or case management.
• Must be willing and able to travel up to 25%-50% of the time in Wayne and Macomb Counties.
• Reliable transportation required.

Responsibilities

• Controls comprehensive management of members with acute or chronic conditions, including case management activities that focus on quality of care, compliance, outcomes and decreasing costs for individuals and communities.
• Implements initial and periodic assessments of the members enrolled in the Long-Term Care Program and/or case or disease management programs under limited supervision to determine course of treatment.
• Applies in-depth knowledge of case management concepts, principles, and strategies in the development of an individualized case plan for enrolled members in case or disease management that are at risk of poor outcomes.
• Communicates updates and facilitates discussion with providers, primary care physicians, Medical Directors, pharmacists, and care management staff regarding the status of patients internally and externally.
• Identifies opportunities to ensure the member receives all the necessary care allowed under the member’s benefit plan in home or community settings.
• Provides information, resources, and education on social issues, mental health, and available services to raise awareness and empower individuals and communities.
• Develops complex, innovative programs designed to reduce admissions for acute and chronic members, increase community integration, and improve health outcomes for enrolled patients and outside individuals.
• Coaches more junior colleagues in techniques, processes, and responsibilities of social work to improve capacity.
• Collaborates with community members, organizations, and policymakers to create opportunities for clients, address community issues, or raise awareness for specific issues.

Education

Bachelor’s Degree in Social Work

LLBSW, LBSW, LLMSW

Job description

CVS Health is seeking a dedicated care coordinator to manage long-term rehabilitation and psychosocial needs for members, coordinating case management, home care and community resources. The role emphasizes reducing readmissions and improving quality of life across care settings.

You will assess members, develop individualized plans, and collaborate with providers and care teams. Travel is required in Wayne and Macomb Counties, with full-time hours and a comprehensive benefits package.