Remote Clinical Case Manager - Care Coordination & Rehab

Pennsylvania Psychological Association; Warren (MI); Remote; USD 61,000 - 130,000; Full time

Job summary

CVS Health is seeking a coordinated care professional to manage cases for members with chronic and psychosocial needs. The role emphasizes developing care plans, coordinating services, and partnering with clinicians to improve outcomes in a remote-capable setting with significant travel in Michigan.

The position requires a Master’s in Social Work, LMSW, and the ability to travel up to 50%. A strong background in medical social work and ethical handling of sensitive information is essential, with

Qualifications

• Minimum years experience in medical social work or case management.
• Complies with all state requirements where duties are performed.
• Willing to travel up to 25–50% in Wayne & Macomb Counties; mileage reimbursed.

Responsibilities

• Coordinate care for members with long-term rehabilitation or psychosocial needs to prevent readmissions.
• Conduct initial and periodic assessments for Long-Term Care or case management programs.
• Develop individualized case plans for at-risk members in disease management.
• Communicate with providers, primary care physicians, Medical Directors, and care management staff.
• Identify opportunities to ensure members receive all necessary care under their benefit plan in home or community settings.
• Provide information, resources, and education on social issues and mental health.
• Develop programs to reduce admissions and improve health outcomes.
• Coach junior colleagues in social work techniques and responsibilities.
• Collaborate with community members and organizations to address issues and raise awareness.

Skills

Medical social work experience

Case management

Willingness to travel

Problem solving

Digital literacy

Medical terminology

Customer service

Ethical handling of information

Cultural sensitivity

Education

Master's Degree in Social Work

LMSW

Job description

CVS Health is seeking a coordinated care professional to manage cases for members with chronic and psychosocial needs. The role emphasizes developing care plans, coordinating services, and partnering with clinicians to improve outcomes in a remote-capable setting with significant travel in Michigan.

The position requires a Master’s in Social Work, LMSW, and the ability to travel up to 50%. A strong background in medical social work and ethical handling of sensitive information is essential, with