Clinical Case Manager BH - Field LCSW Long Island NY

Job DescriptionWork From Home, Field Based PositionThis position requires the ability to travel throughout Long Island New York up to 75% of the time. Working schedule is Monday-Friday; will work between 8am - 8pm EST.The Case Management Coordinator is a full time telework position with travel required throughout Long Island New York. This position utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.As part of the care coordination team, the ACO REACH LCSW Case Manager will function as both a primary care manager for a selected member population and also act as a SME to collaborate with RN CMs when assistance with psychosocial issues and community resources are required. The LCSW Case Manager is responsible for telephonically assessing, planning, implementing, and coordinating all case management activities with members across the continuum of care. The LCSW Case Manager utilizes advance clinical judgement and critical thinking skills to effectively manage members through their illness with the goal of assuring the appropriate level of care is being provided, preventing Emergency Department visits and acute admissions, and ensuring the members physical, behavioral and social needs are being appropriately addressed by the care team to achieve optimal clinical, financial and quality of life outcomes. Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators to manage the chronic conditions of members. Primary responsibilities include but not limited to the following:- Serve as primary care manager for members identified for the ACO REACH Program- Engage members to complete a holistic assessment of current health status and work collaboratively with the care team to manage the member's most difficult symptoms and adaptation to their ongoing decline- Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate.- Collaborate with the RN CMs on the ACO REACH team when LCSW professional guidance is needed.- In collaboration with the multi-disciplinary team, develop and implement a care plan that addresses physical, behavioral and social needs- Educate and assist member with advanced care planning, including establishing and end-of-life treatment plan- Monitor and evaluate effectiveness of the care plan and modify plan in collaboration with multi-disciplinary team as necessary- Work with treating physicians to develop anticipatory symptom management plan and monitor for new issues/concerns/changes in pace of illness- Prepare member/caregiver to understand and identify signs of functional decline and discuss long term plan for managing to help avert medical emergencies- Ensure safe and appropriate transitions of care by collaborating with hospital discharge planners, outpatient provider, family/caregivers and member, to ensure adequate caregiver assistance, functional support, medical follow up and medication oversight during transition from facility to home- Make referrals to the Pharmacist for medication review and recommendations as indicated- Make referrals to BH specialist as indicated.Pay RangeThe typical pay range for this role is:Minimum: 55,300Maximum: 118,900Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.Required Qualifications- Active and good standing LCSW in state of New York.- 3+ years clinical experience - Must reside in the state of New York, able to travel throughout Long Island.- Reliable transportation required- Mileage is reimbursed per our company expense reimbursement policyPreferred Qualifications- Excellent analytic and problem-solving skills- Ability to work independently - Effective computer skills including navigating multiple systems and keyboarding- Bilingual in Spanish and English preferred.Education-Completed Social Workers Master's Degree Program from Accredited College or University- Current and Active Clinical Social Worker State License in the state of New York.Business OverviewBring 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 and affordable. 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 law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

Created: 2024-10-19