Remote Clinical Case Manager Travel 25-50%

MePA; Lansing (MI); Remote; USD 61,000 - 130,000; Full time

Job summary

CVS Health in Michigan is seeking a Care Coordinator of Social Work to lead case management for members with chronic conditions and psychosocial needs. The role emphasizes coordination across care settings, home visits, and community resources.

Travel is required within Wayne and Macomb Counties, with a Monday–Friday schedule and a 40-hour work week. The position supports complex care planning, collaboration with providers and care teams, and development of programs to reduce hospitalizations

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. 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.

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.
• 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.

Skills

Case management

Social work

Travel 25-50%

Digital literacy

Medical terminology

Communication skills

Cultural sensitivity

Education

Master's Degree in Social Work

LMSW

Job description

CVS Health in Michigan is seeking a Care Coordinator of Social Work to lead case management for members with chronic conditions and psychosocial needs. The role emphasizes coordination across care settings, home visits, and community resources.

Travel is required within Wayne and Macomb Counties, with a Monday–Friday schedule and a 40-hour work week. The position supports complex care planning, collaboration with providers and care teams, and development of programs to reduce hospitalizations