Social Worker – Field Ulster County, NY

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Program Overview

Join our Aetna team as we lead the way in providing exceptional care to dual eligible populations! This role involves 50-75% travel. You will have a life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members who are enrolled in both Medicare and Medicaid and face a variety of complex health and social challenges. Through compassionate engagement and effective communication we work collaboratively with members healthcare providers and community organizations to address the comprehensive healthcare and social needs of our members. Be part of this exciting opportunity as we expand our DSNP services to transform lives in new markets across the country.

Position Summary

As a Field Social Worker you will play a vital role in the member-centered care planning process alongside the other core care team members. Your responsibilities will include:

• Conducting field visits to the members home community locations medical facilities and other locations.
• Completing care management focused assessments.
• Setting member-centered goals.
• Identifying barriers and strategies to address them.
• Establishing monitoring and adapting interventions to achieve member goals.

Fundamental Components

• Focus on enhancing quality of care ensuring compliance improving outcomes and reducing costs.
• Develop and implement strategies to coordinate and integrate post-acute and long-term care services preventing exacerbations and unnecessary custodial placements.
• Perform initial and ongoing assessments for members enrolled in the Long-Term Care Program and other care initiatives.
• Utilize social work principles and strategies to address the social determinants of health within each members individualized care plan.
• Collaborate and facilitate ongoing communication with providers primary care physicians Medical Directors pharmacists and care management staff to discuss member status and progress toward goals.
• Advocate for members to ensure they receive all necessary care covered by their benefit plans and available through Medicaid and community resources.
• Build relationships with hospital social workers and community resources leveraging data to ensure effective management of catastrophic acute and chronically ill members aiming for appropriate utilization and reduced lengths of stay.
• Assist in identifying and reporting potential quality improvement opportunities.
• Direct social work interventions including psychosocial assessments follow-ups in-home or facility assessments documentation of issues and interventions and facilitating access to a continuum of care through appropriate referrals.

Required Qualifications

• Candidate must reside in Ulster County NY or within a 50 mile radius
• Candidate must have the ability to travel up to 50-75% of the time within a designated geographic area for in-person case management activities (Travel expenses are reimbursed in accordance with the company travel reimbursement policy)
• Candidate must have an active drivers license and transportation
• Candidate must have active and unrestricted Licensed Master Social Worker (LMSW) OR Licensed Clinical Social Worker (LCSW) in New York (NY)
• 2 years of experience in medical social work or case management
• Proficient in Microsoft Office Suite including Word Excel Outlook OneNote and Teams with the ability to effectively utilize these tools within the context of the Social Worker role
• Confidence working at home / independent thinker using tools to collaborate and connect with teams virtually
• Access to a private dedicated space to conduct work effectively to meet the requirements of the position

Education

• Master of Social Work (REQUIRED)

License

• Active and unrestricted Licensed Master Social Worker (LMSW) OR Licensed Clinical Social Worker (LCSW) in New York (NY)

Work from Home Requirements

• You must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer and a minimum download speed of 25 mbs download and 3 mbs upload. WiFi and satellite internet are not permitted.
• A quiet secure and private designated home virtual work location free from distractions tidy and organized compliant with CVS Health and HIPAA guidelines and allowing for uninterrupted work during work hours.
• Work-from-Home colleagues are required to work within the state and city where they have confirmed they currently live.
• The company will provide equipment (keyboard monitor computer headset etc.). All new hires should provide their own workspace furniture (desk or standing desk as this position would require you to be at your desk for extended periods of time).
• If hired you will commit to obtaining required internet speeds and adhere to all Work From Home requirements.

Technical and Logistical Requirements

• Device & System Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously to streamline tasks and improve efficiency.
• Communication Tools: Ability to communicate on digital channels such as via email calendar invites Teams messaging and virtual meetings.
• Collaboration & Scheduling: Experience with Microsoft Office 365 (Teams Outlook Word Excel PowerPoint) applications or similar (Google Workspace).
• Systems Access & Security: Ability to Log in to secure systems (e.g. VPN EHR portal) lock a computer screen when unattended manage strong passwords and recognize suspicious emails or links.
• Troubleshooting & Support: Ability to resolve common technical issues independently such as: restarting an application when frozen resolving internet connection issues and contacting IT for unresolved technical issues.
• Future Growth: Openness to learning new skills in the future as the workplace environment evolves

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience education geography and other relevant factors. This position is eligible for a CVS Health bonus commission or short-term incentive program in addition to the base 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

Additional details about available benefits are provided during the application process and on Benefits Moments.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws.