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

Camp Young Judaea Sprout Lake; Sterling Heights (MI); A distancia; USD 47.000 - 101.000; Jornada completa

Descripción de la vacante

CVS Health is seeking a Care Coordination Specialist to act as a coordinator of care for members with long-term rehabilitation and psychosocial needs. The role focuses on coordinating all case management and quality-of-life activities to prevent readmissions and place within the right level of care.

You will develop and carry out strategies to integrate acute and long-term services, provide psychosocial interventions, and work with providers, care teams, and community resources to improve

Formación

• Minimum 2 years experience in medical social work or case management.
• Complies with all state requirements in the state where job duties are performed.
• Must be willing and able to travel up to 25%- 50% of the time in Wayne and Macomb Counties.

Responsabilidades

• Manages care for members with acute or chronic conditions focusing on quality, outcomes, and cost reduction.
• Performs initial and periodic assessments in Long-Term Care or disease management programs.
• Develops individualized case plans for at-risk members.
• Communicates updates with providers, PC physicians, Medical Directors, pharmacists, and staff.
• Ensures members receive care allowed under their benefit plan in home or community settings.
• Provides information and education on social issues, mental health, and available services.
• Develops programs to reduce admissions and improve health outcomes.
• Coaches junior colleagues in social work techniques and processes.
• Collaborates with community members and policymakers to address issues.

Conocimientos

Problem solving

Digital literacy

Medical terminology

Customer service

Handling sensitive information

Cost-benefit analysis

Cultural competency

Educación

Bachelors in Social Work

Licensure: LLBSW/LBSW/LLMSW

Descripción del empleo

CVS Health is seeking a Care Coordination Specialist to act as a coordinator of care for members with long-term rehabilitation and psychosocial needs. The role focuses on coordinating all case management and quality-of-life activities to prevent readmissions and place within the right level of care.

You will develop and carry out strategies to integrate acute and long-term services, provide psychosocial interventions, and work with providers, care teams, and community resources to improve