Social Worker – Field - Ulster County, NY

CVS Health•New York, NY

1d•$51,256 - $111,351•Remote

About The Position

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.

Requirements

Candidate must reside in Ulster County, NY or within a 50 mile radius
Candidate must have the ability to travel up to 50-75% of the time within a designated geographic area for in-person case management activities (Travel expenses are reimbursed in accordance with the company travel reimbursement policy)
Candidate must have an active driver's license and transportation
Candidate must have active and unrestricted Licensed Master Social Worker (LMSW) OR Licensed Clinical Social Worker (LCSW) in New York (NY)
2+ years of experience in medical social work or case management
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
Master of Social Work (REQUIRED)
Active and unrestricted Licensed Master Social Worker (LMSW) OR Licensed Clinical Social Worker (LCSW) in New York (NY)
You must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer and a minimum download speed of 25 mbs download and 3 mbs upload. WiFi and satellite internet are not permitted.
A quiet, secure and private designated home virtual work location, free from distractions, tidy and organized, compliant with CVS Health and HIPAA guidelines, and allowing for uninterrupted work during work hours.
Work-from-Home colleagues are required to work within the state and city where they have confirmed they currently live.
Device & System Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously to streamline tasks and improve efficiency.
Communication Tools: Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and virtual meetings.
Collaboration & Scheduling: Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or similar (Google Workspace).
Systems Access & Security: Ability to Log in to secure systems (e.g., VPN, EHR portal), lock a computer screen when unattended, manage strong passwords, and recognize suspicious emails or links.
Troubleshooting & Support: Ability to resolve common technical issues independently, such as: restarting an application when frozen, resolving internet connection issues, and contacting IT for unresolved technical issues.
Future Growth: Openness to learning new skills in the future as the workplace environment evolves

Responsibilities

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.
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.