Licensed Clinical Social Worker - Field

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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.

Location: This role will be work at home with 25-50% travel within Mercer, Monmouth, Middlesex, Ocean, Burlington , New Jersey.

Schedule: Standard business hours Monday-Friday 8:00am-5:00pm EST.

Position Summary

The Social Worker participates in the care planning process in collaboration with the Care Manager, to include the following actions: assessment, goal setting, establishing interventions related to goals, identifying barriers and strategies to address, monitoring success of the interventions, evaluating the success of the overall care plan and reporting outcomes.

Our Mission

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 a life-changing impact on our 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 dually eligible members to change lives in markets across the country.

Help us elevate our patient care to a whole new level!

Key Responsibilities

• Fundamental Components Social work activities will focus on quality of care, compliance, outcomes and decreasing costs.
• Responsible for developing and carrying out strategies to coordinate and integrate services to members to prevent exacerbations and/or placement of the members in custodial care.
• Applies social work concepts, principles, and strategies in addressing the social determinants of health needs in members individualized care plan.
• Collaborates 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.

• This is a remote role with 25-50% travel required, candidates must have a dedicated workspace free of interruptions.
• Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted.

• Minimum of 2 years’ experience in medical social work or case management.
• Complies with all state requirements in the state where job duties are performed.
• New Jersey Licensed Clinical Social Worker (LCSW) required.
• Must reside in Central New Jersey.

• Bilingual Preferred.

• Master's…