Social Worker, CVS Health

CVS Health

Location:
United States, Miami Dade County

Category:
Health and Beauty

Contract Type:
Employment contract

Salary:

21.10 - 43.78 USD / Hour

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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.

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, facilities 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 Miami Dade County, FL
Must possess reliable transportation and be willing and able to travel up to 75% of the time
Must possess active and unrestricted Licensed Master Social Worker (LMSW)/ Licensed Clinical Social Worker (LCSW) licensure in the state of Florida
2+ years experience in medical social work or case management
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
Master's Degree in Social Work

Nice to have:

Bilingual (English + Spanish)
Ability to multitask and manage complex cases
Experience in member crisis management
Proficient in Microsoft Office applications

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:
July 03, 2025

Expiration:
July 05, 2025

Employment Type:

Fulltime

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Social Worker