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Social Worker - Field

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States, New York

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Category:
Health and Beauty

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Contract Type:
Employment contract

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Salary:

51256.00 - 111351.00 USD / Year

Job Description:

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! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand DSNP to change lives in new markets across the country.

Job Responsibility:

  • Care Management activities are conducted through a combination of telephonic and face to face interactions which include visits to member homes, in the community, and/or provider locations
  • Care management activities will focus on quality of care, compliance, outcomes and decreasing costs
  • Responsible for developing and carrying out strategies to coordinate and integrate post-acute and long-term care services to members to prevent exacerbations and/or placement of the members in custodial care
  • Performs initial and periodic assessments of the members enrolled in the Long-Term Care Program and/or care programs
  • Applies social work concepts, principles, and strategies in addressing the social determinants of health needs in members individualized care plan
  • Conducts regular discussion and updates with providers, primary care physicians, Medical Directors, pharmacists, and care management staff regarding the status of members and progress towards goals
  • Serves as a member advocate to ensure the member receives all the necessary care allowed under the member’s benefit plan and as available through Medicaid benefits and/or other community resources
  • Develops relationships with hospital social workers and community resources and utilizes available data to assure appropriate care management of catastrophic, acute, and chronically ill members with the goal of appropriate utilization, decreased length of stay, and preventable emergency room utilization
  • Assists in the identification and reporting of potential quality improvement issues
  • Directs social work interventions including performing psychosocial assessment of the populations, telephone follow up and in-home or facility assessments as indicated, documentation of problems, assessments, and/or interventions, and promoting ease of access to a continuum of care through appropriate information and referral

Requirements:

  • Candidate must reside in one of the following counties: Westchester County, NY, Albany County, NY, Greene County, NY, Rensselaer County, NY, Tompkins County, NY, Schoharie County, NY, Onondaga County, NY, Broome County, NY
  • 2+ years’ experience in medical social work or case management
  • Candidate must have one of the following: Licensed Master Social Worker (LMSW) OR Licensed Clinical Social Worker (LCSW) in New York
  • Must possess reliable transportation and be willing and able to travel up to 75-90% of the time within a 50 mile radius
What we offer:
  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an 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

Additional Information:

Job Posted:
August 03, 2025

Expiration:
August 31, 2025

Employment Type:
Fulltime
Work Type:
On-site work
Job Link Share:
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