Remote Clinical Case Manager — Community Care & Travel

Voices for Voices; Warren (MI); A distancia; USD 61.000 - 130.000; Jornada completa

Descripción de la vacante

CVS Health is seeking a qualified Coordinator of Care to manage long-term rehabilitation and psychosocial needs, coordinating case management across care settings. The role focuses on reducing readmissions, enhancing quality of life, and leveraging community resources for members.

Responsibilities include assessing members, collaborating with providers, and developing innovative programs to improve health outcomes. This is a full-time remote position with travel in Michigan.

Formación

• Minimum 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. Reliable transportation required.
• Basic awareness of problem solving and decision making skills.
• Basic awareness of digital literacy skills.
• Basic knowledge of medical terminology.
• Ability to deal tactfully with customers and community.
• Ability to handle sensitive information ethically and responsibly.
• Ability to consider the relative costs and benefits of potential actions to choose the most appropriate option.
• Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients.

Responsabilidades

• 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.

Conocimientos

Problem solving

Digital literacy

Medical terminology

Customer relations

Educación

Master's Degree in Social Work

LMSW

Descripción del empleo

CVS Health is seeking a qualified Coordinator of Care to manage long-term rehabilitation and psychosocial needs, coordinating case management across care settings. The role focuses on reducing readmissions, enhancing quality of life, and leveraging community resources for members.

Responsibilities include assessing members, collaborating with providers, and developing innovative programs to improve health outcomes. This is a full-time remote position with travel in Michigan.