Social Worker (Care Management) - Wayne and Macomb Counties

CVS Health-posted 3 months ago

$46,597 - $101,228/Yr

Full-time • Mid Level

Remote • Detroit, MI

5,001-10,000 employees

Ambulatory Health Care Services

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At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Help us elevate our patient care to a whole new level! This role will be work at home with 25-50% travel throughout Wayne and Macomb Counties. Schedule: Monday - Friday 8:00AM-5:00PM.

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.

Minimum 2 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.

Behavioral health experience.
Bilingual in Spanish or Arabic.

Affordable medical plan options.
401(k) plan (including matching company contributions).
Employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

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Social Worker (Care Management) - Wayne and Macomb Counties

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