Job Description

Social Worker – Field – Carroll OR Coweta County, GA Join to apply for the Social Worker - Field - Carroll OR Coweta County, GA role at CVS Health . 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 member’s 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 member’s 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 Carroll OR Coweta County, Georgia. 2+ years of experience in medical social work or case management. Candidate licensure must comply with requirements in the state where job duties are performed. Ability to travel within a designated geographic area for in‑person case management activities. Proficient in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams. 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 Bachelor of Social Work Degree (Required). Master of Social Work (Preferred). License Candidate licensure must comply with requirements in the state where job duties are performed. Anticipated Weekly Hours 40 Time Type Full time Pay Range $43,888.00 – $91,052.00 Benefits We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to competitive wages, our benefits include: Affordably priced medical plans, a 401(k) plan with matching company contributions, and an employee stock purchase plan. No‑cost programs for all colleagues including wellness screenings, tobacco cessation and weight‑management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent‑care resources, peer‑support programs, tuition assistance, retiree medical access, and many other benefits depending on eligibility. For more information, visit We anticipate the application window for this opening will close on: 11/28/2025. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr CVS Health

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