Social Worker - Field Charleston, WV

4062 Aetna Resources, LLC; West Virginia; Hybrid; USD 44,000 - 91,000; Full time

Benefits offered by this job

Medical coverage

Dental & Vision

Paid time off

Retirement plan

Job summary

CVS Health is seeking a Field Social Worker to support Dual Eligible Special Needs Plan (DSNP) members. The role involves home and community visits, care management assessments, and collaborative planning with healthcare providers to address social determinants of health. Travel up to 75% is required.

Required are a BSW with MSW preferred, and the ability to travel within the assigned region. Proficiency with Microsoft Office is expected, and strong communication skills are essential for success

Qualifications

• Bachelor of Social Work is required; Master of Social Work is preferred.
• Ability to travel within a designated geographic area for in-person case management.
• Proficiency with Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams).

Responsibilities

• Conduct field visits to member homes, community locations, and medical facilities.
• Complete care management-focused assessments and set member-centered goals.
• Identify barriers and solutions and monitor interventions to meet goals.
• Collaborate with providers and care teams to coordinate post-acute and long-term care services.

Skills

Social work

Communication

Remote work readiness

MS Office proficiency

Education

Bachelor of Social Work (BSW)

Master of Social Work (MSW) preferred

Tools

Microsoft Office Suite

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Program Overview

Join our Aetna team as we lead the way in providing exceptional care to dual eligible populations! This role involves 50‑75% travel. You will have a life‑changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in both Medicare and Medicaid and face a variety of complex health and social challenges. Through compassionate engagement and effective communication, we work collaboratively with members, healthcare providers, and community organizations to address the comprehensive healthcare and social needs of our members. Be part of this exciting opportunity as we expand our DSNP services to transform lives in new markets across the country.

Position Summary

As a Field Social Worker, you will play a vital role in the member‑centered care planning process alongside the other core care team members.

Your responsibilities will include:

• Conducting field visits to the member’s home, community locations, medical facilities, and other locations.
• Completing care management focused assessments.
• Setting member‑centered goals.
• Identifying barriers and strategies to address them.
• Establishing, monitoring, and adapting interventions to achieve member goals.

Fundamental Components Focus on enhancing quality of care, ensuring compliance, improving outcomes, and reducing costs. Develop and implement strategies to coordinate and integrate post‑acute and long‑term care services, preventing exacerbations and unnecessary custodial placements. Perform initial and ongoing assessments for members enrolled in the Long‑Term Care Program and other care initiatives. Utilize social work principles and strategies to address the social determinants of health within each member’s individualized care plan. Collaborate and facilitate ongoing communication with providers, primary care physicians, Medical Directors, pharmacists, and care management staff to discuss member status and progress toward goals. Advocate for members to ensure they receive all necessary care covered by their benefit plans and available through Medicaid and community resources. Build relationships with hospital social workers and community resources, leveraging data to ensure effective management of catastrophic, acute, and chronically ill members, aiming for appropriate utilization and reduced lengths of stay. Assist in identifying and reporting potential quality improvement opportunities. Direct social work interventions, including psychosocial assessments, follow‑ups, in‑home or facility assessments, documentation of issues and interventions, and facilitating access to a continuum of care through appropriate referrals.

Required Qualifications

• Minimum of 2 years of experience in medical social work or case management is preferred.
• Ability to travel within a designated geographic area for in‑person case management activities.
• Travel expenses are reimbursed in accordance with the company travel reimbursement policy.
• Proficient in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams, with the ability to effectively utilize these tools within the context of the Social Worker role.
• Confidence working at home / independent thinker, using tools to collaborate and connect with teams virtually.
• Access to a private, dedicated space to conduct work effectively to meet the requirements of the position.

Education and Certification Requirements

A minimum of Bachelor of Social Work degree is required; Master of Social Work is preferred. Candidate licensure must comply with requirements in the state where job duties are performed.

Anticipated Weekly Hours 40

Time Type Full time

Pay Range The typical pay range for this role is: $43,888.00 - $91,052.00 This pay range represents the base hourly rate or base annual full‑time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short‑term incentive program in addition to the base pay range listed above.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families.

The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 11/21/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.