Clinical Case Manager- Social Worker

Guidehealth • Atlanta, GA

2d • Remote

About The Position

As a Care Manager, you will be a trusted guide for patients and families navigating complex health journeys. This role blends your clinical expertise with a holistic approach to care, addressing medical, behavioral, and social needs. You’ll work remotely, but your impact will be deeply personal, helping members achieve wellness and autonomy through education, support, and compassionate coordination

Requirements

• Master’s degree in social work (MSW)
• Minimum of five (5) years of clinical experience across diverse healthcare settings including medical and behavioral health.
• Strong background in care management as well as complex and chronic condition management, both inpatient and outpatient.
• Skilled in motivational interviewing, patient education, and patient advocacy.
• Ability to work independently in a remote environment while staying connected to the team.
• Comfort with technology and multiple EMR systems.
• Possession of software knowledge including word processing and spreadsheets, computer skills including MS Word, Excel, Access, PDF, Outlook, etc.

Nice To Haves

• LCSW, LCSW, LCPC, or LCP
• Perinatal Mental Health Certification (PHM-C)
• Specialty Certification in Care Management (CCM or ACM)
• Previous remote and/or telephonic work experience
• Knowledge of utilization review, quality improvement, managed care, and/or community health

Responsibilities

• Build meaningful relationships with patients and families, understanding their goals, barriers, and motivators.
• Creating personalized care plans that go beyond diagnoses, addressing social determinants, emotional well-being, and behavioral health when applicable.
• Coordinate care across providers and settings, ensuring safety, quality, and continuity.
• Educate and empower members to make informed decisions and navigate the healthcare system confidently.
• Identifying and coordinating access to community-based resources and services and ensuring implementation for the member.
• Collaborate with an interdisciplinary team (inpatient, outpatient, home health, etc.), sharing insights and advocating for whole-person health.
• Use data as a tool for insight—not the driver of care—to identify opportunities and measure impact while keeping the patient at the center.
• Maintain compliance with regulatory standards while prioritizing compassion and connection.

Benefits

• Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs.
• Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered.
• Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution.
• Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected.
• Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times.
• Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals.
• Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need.
• Learn and Grow: Your professional growth is important to us. Guidehealth offers various resources dedicated to your learning and development to advance your career with us.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level