Social Worker (Field - Miami Dade, FL)

About the position

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. This role will be 50-75% travel within a 50 mile radius- Miami Dade County. 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.

Responsibilities

• Participates in the care planning process in collaboration with the Care Manager.
• Conducts care management activities through telephonic and face-to-face interactions.
• Focuses on quality of care, compliance, outcomes, and decreasing costs.
• Develops and carries out strategies to coordinate and integrate post-acute and long-term care services.
• Performs initial and periodic assessments of members enrolled in the Long-Term Care Program.
• Applies social work concepts, principles, and strategies in addressing social determinants of health.
• Conducts regular discussions and updates with providers and care management staff.
• Serves as a member advocate to ensure necessary care is received.
• Develops relationships with hospital social workers and community resources.
• Assists in identifying and reporting potential quality improvement issues.
• Directs social work interventions including psychosocial assessments and documentation.

Requirements

• Candidate must reside in or near Miami Dade County (FL).
• Candidate must possess an active and unrestricted Licensed Master Social Worker (LMSW) licensure or higher in the state of Florida.
• 2+ years experience in medical social work or case management.
• Candidate must be willing and able to travel up to 75% of the time in the Miami Dade County area.
• Reliable transportation required (Mileage is reimbursed per company policy).

Nice-to-haves

• Bilingual (English / Spanish).

Benefits

• Affordable medical plan options.
• 401(k) plan (including matching company contributions).
• Employee stock purchase plan.
• No-cost programs for wellness screenings, tobacco cessation, and weight management.
• Confidential counseling and financial coaching.
• Paid time off and flexible work schedules.
• Family leave and dependent care resources.
• Colleague assistance programs and tuition assistance.