Remote Clinical Case Manager: Care Coordination

Voices for Voices; Sterling Heights (MI); Remote; USD 61,000 - 130,000; Full time

Job summary

CVS Health is seeking a qualified Care Coordinator in Michigan to manage long-term rehabilitation and psychosocial needs, coordinating case management and quality of life services to prevent readmissions and support community care.

Travel up to 25–50% within Wayne and Macomb Counties is required; requires LMSW with a Master’s in Social Work and strong communication with providers, patients, and families to optimize outcomes.

Qualifications

• Minimum 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.
• Basic awareness of problem solving and decision making skills.
• Basic awareness of digital literacy skills.
• Basic knowledge of medical terminology.

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.

Education

Master's Degree in Social Work

LMSW

Job description

CVS Health is seeking a qualified Care Coordinator in Michigan to manage long-term rehabilitation and psychosocial needs, coordinating case management and quality of life services to prevent readmissions and support community care.

Travel up to 25–50% within Wayne and Macomb Counties is required; requires LMSW with a Master’s in Social Work and strong communication with providers, patients, and families to optimize outcomes.