Remote Clinical Case Manager – Long-Term Care & Social Work

CVS Health; Sterling Heights (MI); Remote; USD 61,000 - 130,000; Full time

Job summary

CVS Health in Sterling Heights, MI is hiring a Coordinator of Care to support members with long-term rehabilitation and psychosocial needs. You will coordinate all case management and quality‑of‑life activities across the care continuum, linking home care, community resources and providers.

The role requires collaboration with clinicians and community partners, travel up to 50% in Wayne and Macomb Counties, and a Monday–Friday 8:00AM–5:00PM schedule.

Qualifications

• Minimum years experience in medical social work or case management.
• Willingness to travel up to 25%-50% in Wayne and Macomb Counties.
• Complies with state requirements where duties are performed.
• Mileage reimbursed per policy.

Responsibilities

• Controls comprehensive management of members with acute or chronic conditions.
• Implements initial and periodic assessments for the Long-Term Care Program.
• Applies case management concepts to develop individualized plans.
• Communicates with providers, PCPs, Medical Directors, and care teams.
• Identifies opportunities to ensure members receive all essential care.
• Provides information and education on social issues and services.
• Develops programs to reduce admissions and improve outcomes.
• Coaches junior colleagues in social work techniques.
• Collaborates with community members and policymakers to raise awareness.

Skills

Case management

Social work

Digital literacy

Communication

Problem solving

Education

Master's Degree in Social Work

LMSW

Job description

CVS Health in Sterling Heights, MI is hiring a Coordinator of Care to support members with long-term rehabilitation and psychosocial needs. You will coordinate all case management and quality‑of‑life activities across the care continuum, linking home care, community resources and providers.

The role requires collaboration with clinicians and community partners, travel up to 50% in Wayne and Macomb Counties, and a Monday–Friday 8:00AM–5:00PM schedule.