Social Worker - Field Based - Mansfield, Ohio
Company: Aetna Inc.
Posted on: June 23, 2022
This role will be eligible for a sign on bonus of $5,000 upon
The position will be 50-75% travel within a 50 mile radius once
Covid restrictions are lifted.
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.
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.
* 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
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
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
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
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
Minimum of 2 years' experience in medical social work or case
COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated
against COVID-19 (including any booster shots if required), where
allowable under the law, unless they are approved for a reasonable
accommodation based on disability, medical condition, religious
belief, or other legally recognized reasons that prevents them from
You are required to have received at least one COVID-19 shot prior
to your first day of employment and to provide proof of your
vaccination status or apply for a reasonable accommodation within
the first 10 days of your employment. Please note that in some
states and roles, you may be required to provide proof of full
vaccination or an approved reasonable accommodation before you can
begin to actively work.
Complies with all state requirements in the state where job duties
Ability to travel within a designated geographic area for in-person
case management activities when Covid-19 restrictions shift.
Master's degree must be in Social Work
License in social work required
Bring your heart to CVS Health
Every one of us at CVS Health shares a single, clear purpose:
Bringing our heart to every moment of your health. This purpose
guides our commitment to deliver enhanced human-centric health care
for a rapidly changing world. Anchored in our brand - with heart at
its center - our purpose sends a personal message that how we
deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors support this purpose. We want everyone
who works at CVS Health to feel empowered by the role they play in
transforming our culture and accelerating our ability to innovate
and deliver solutions to make health care more personal, convenient
We strive to promote and sustain a culture of diversity, inclusion
and belonging every day.
CVS Health is an affirmative action employer, and is an equal
opportunity employer, as are the physician-owned businesses for
which CVS Health provides management services. We do not
discriminate in recruiting, hiring, promotion, or any other
personnel action based on race, ethnicity, color, national origin,
sex/gender, sexual orientation, gender identity or expression,
religion, age, disability, protected veteran status, or any other
characteristic protected by applicable federal, state, or local
Keywords: Aetna Inc., Mansfield , Social Worker - Field Based - Mansfield, Ohio, Healthcare , Mansfield, Ohio
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