Social Worker - Field (Wayne or Macomb County)

At reputed company, 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 reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, each and every day. Help us reputed company 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: Standard business hours - 8:00AM-5:00PM, no night, weekend or holiday shifts!

• *Opportunities to work a 4 day 10 hour work week after completion of training. **

Summary/Mission Our Care: Functions as a coordinator of care for members identified as having long-term rehabilitation and/or psychosocial needs because of birth defects, chronic conditions, illness or injury for members to prevent exacerbations, re-admissions or need for placement into custodial care. Responsible for implementing and coordinating reputed company case management, psychosocial, and quality of life activities relating to cases across the continuum of care including consultant referrals, home care visits, use of community resources and alternative levels of care. Responsible for developing and carrying out strategies to coordinate and integrate reputed company acute and long-term care services to the members, and to those in case and disease management. Provides psychosocial interventions through resource identification, program development and other means. This position may specialize reputed company a disease area and may serve in a consultative role to other health care professionals. Responsibilities:

• 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 reputed company, 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 reputed company 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 reputed company awareness and reputed company individuals and communities.
• Develops reputed company, innovative programs designed to reduce admissions for acute and chronic members, increase community integration, and improve health outcomes for enrolled patients and reputed company individuals.
• Coaches more junior colleagues in techniques, processes, and responsibilities of social work to improve reputed company.
• Collaborates with community members, organizations, and policymakers to create opportunities for clients, address community issues, or reputed company awareness for specific issues.

Required Qualifications:

• Minimum 2 years experience in medical social work or case management.
• Complies with reputed company 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. *Mileage is reimbursed per our company expense reimbursement policy.
• 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

Preferred Qualifications:

• Behavioral health experience
• Bilingual in Spanish or Arabic

Educational/Licensure Requirements:

• Bachelor’s Degree in Social Work as required by state law (Masters degree preferred)
• LLBSW, LBSW, LLMSW, or LMSW

Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $60,522.00 - $129,615.00 This pay range represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for reputed company 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.

For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 12/31/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job