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A new day in healthcare. Together, CVS Health and Aetna help people on their path to better health.

Social Worker

Primary Location: Albany, New York
Additional Locations: GA-Atlanta, NC-Charlotte, NY-Albany, WV-Charleston

Full time telework opportunity open to candidates that live in one of the following states and have an active LCSW license in their state: NY, WV, GA, NC. Less than 25% travel is involved.

This is your opportunity to join an organization that is reshaping healthcare! Aetna is about meeting our members where they are and working to improve their lives,one person at a time! Come help us make a difference!

Fundamental Components:
The Social Worker, works within a Care Team setting, and is responsible for supporting member-centered care management across the health care continuum, to ensure services are being provided to, members and their
families. Provides assessments that address social and behavioral health outcome indicators. Addresses social determinants of health and actively participates in the member’s plan of care, while assuring cost-effective

Job Responsibilities:

- Utilizes professional clinical judgment and clinical skills in completing assessments of referred member needs/review of
member-specific health information; determines an approach to resolve member issues/meeting needs by evaluating the members benefit plan & available internal/external programs/services/resources

- Incorporates strategies designed to reduce barriers; address clinical indicators which impact care
planning/resolution of member issues

- Provides crisis follow up to members and their families to ensure they are receiving the appropriate treatment and

- Makes timely contact with the Member; provides services in accordance with the approved Social Work policy and documents all communications within 24 hours of member contact

- Using a holistic approach consults with clinical colleagues, managers, Medical Directors, other ICT
members & other programs to overcome barriers to meeting goals/objectives. Identifies/escalates member safety & quality of care issues through established

- Utilizes influencing/motivational interviewing skills to ensure maximum member engagement; promotes lifestyle/behavior changes to achieve optimum level of health

- Provides coaching, information & support to empower the member to make ongoing independent
medical/healthy lifestyle choices and fully participate w/their provider in healthcare decision-making -Maintains a comprehensive working knowledge of community resources, payer requirements and network services

Background Experience:

- The minimum level of education required for candidates is
a Master's degree

- Licenses/ Certifications: Licensed Clinical Social Worker (LCSW); active and in good standing - 3+ years clinical practice experience, e.g., community, public health, hospital setting, alternative care setting such as home health or ambulatory care required

- Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint. Case management, behavioral health, discharge planning experience preferred

- Managed Care, Medicare/Medicaid experience preferred

- Crisis intervention skills preferred

Additional Job Information:
Aetna is about more
than just doing a job. This is our opportunity to re-shape healthcare for
America and across the globe. We are developing solutions to improve the
quality and affordability of healthcare. We care about our customers and our
communities. We are inspired to make a difference, and we are committed to
integrity and excellence. Together we will empower people to live healthier
lives. Aetna is an equal opportunity & affirmative action employer. All
qualified applicants will receive consideration for employment regardless of
personal characteristics or status. We take affirmative action to recruit,
select and develop women, people of color, veterans and individuals with
disabilities. We are a company built on excellence. We have a culture that
values growth, achievement and diversity and a workplace where your voice can
be heard.

Mental Health - Licensed Social Worker

Potential Telework Position:

Percent of Travel Required:
10 - 25%

EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer

Benefit Eligibility:
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Candidate Privacy Information:
Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Click To Review Our Benefits (PDF)


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