Experienced Full-Time Remote Social Worker - CVS Health Aetna Dual Eligible Special Needs Plan (DSNP) Care Management

Join the CVS Health Team: Transforming Healthcare with Compassion and Innovation

At CVS Health, we're driven by a singular purpose: Bringing our heart to every moment of your health. As a leading healthcare company, we're committed to delivering personalized, convenient, and affordable care to meet the evolving needs of our patients. Our Aetna team is at the forefront of serving dual eligible populations through our Dual Eligible Special Needs Plan (DSNP), and we're seeking a skilled and compassionate Social Worker to join our care management team.

About the Role

As a full-time remote Social Worker, you'll play a vital role in our DSNP care management team, working closely with Care Managers, providers, and community organizations to address the complex health and social needs of our members. This is an exciting opportunity to make a life-changing impact on the lives of our members, who are enrolled in both Medicare and Medicaid.

Key Responsibilities:

• Participate in care planning, including assessment, goal setting, establishing interventions, identifying barriers, and monitoring progress.
• Develop and implement strategies to coordinate and integrate post-acute and long-term care services, preventing exacerbations and custodial care placements.
• Conduct initial and periodic assessments of members enrolled in Long-Term Care Programs or care programs.
• Apply social work concepts, principles, and strategies to address social determinants of health needs in individualized care plans.
• Collaborate with providers, primary care physicians, Medical Directors, pharmacists, and care management staff to ensure comprehensive care.
• Serve as a member advocate, ensuring access to necessary care and community resources.
• Develop relationships with hospital social workers and community resources to optimize care management.
• Identify and report potential quality improvement issues.
• Direct social work interventions, including psychosocial assessments, telephone follow-ups, and in-home or facility assessments.

Requirements and Qualifications

Essential Qualifications:

• Minimum of 2+ years of experience in medical social work or case management.
• Active and unrestricted LMSW licensure in the state of residence.
• Master's Degree in Social Work required.

Preferred Qualifications:

• Medicare and Medicaid experience.
• Care Coordination experience.

Skills and Competencies

To succeed in this role, you'll need:

• Excellent communication and interpersonal skills.
• Strong analytical and problem-solving abilities.
• Ability to work independently and collaboratively as part of a team.
• Compassion, empathy, and a patient-centered approach.
• Strong organizational and time management skills.

Career Growth Opportunities and Learning Benefits

At CVS Health, we're committed to supporting the growth and development of our colleagues. As a Social Worker with our Aetna team, you'll have access to:

• Comprehensive training and onboarding program.
• Ongoing education and professional development opportunities.
• Career advancement opportunities within the company.
• A collaborative and supportive work environment.

Work Environment and Company Culture

As a remote Social Worker, you'll enjoy:

• Flexible work arrangements, with the ability to work from home.
• A dynamic and supportive work environment.
• Opportunities to connect with colleagues and leadership through virtual town halls and other company-wide events.

Compensation, Perks, and Benefits

We offer a comprehensive compensation package, including:

• A competitive salary range of $45,240.00 - $98,280.00.
• A full range of medical, dental, and vision benefits.
• Eligibility for a CVS Health bonus, commission, or short-term incentive program.
• A 401(k) retirement savings plan and Employee Stock Purchase Plan.
• Fully-paid term life insurance and short-term and long-term disability benefits.
• Paid Time Off (PTO) and paid holidays.

Why Join CVS Health?

By joining our team, you'll be part of a company that's dedicated to transforming healthcare and making a positive impact on the lives of our patients and communities. We're committed to:

• Delivering personalized, convenient, and affordable care.
• Supporting the growth and development of our colleagues.
• Fostering a culture of inclusivity, diversity, and respect.

How to Apply

If you're passionate about making a difference in the lives of others and have the skills and experience we're looking for, we encourage you to apply for this exciting opportunity. Please submit your application today, and join our team of dedicated healthcare professionals.