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

Telephonic Social Worker (LSW)

Primary Location: High Point, North Carolina
Additional Locations: NC-High Point
This role partners with a
registered nurse case manager to utilize a collaborative process of assessment,
planning, and advocacy to meet a member’s benefit plan and/or health needs. Responsibilities
include researching available options and resources for members with financial,
transportation, safety and housing needs. Population spans the entire
lifecycle. All member contact is done telephonically or via electronic
exchange. This position works to empower members to make positive lifestyle and
medical choices and works as a team with other clinical staff to assist members
with community resources for medical, financial and behavioral health.

Fundamental Components:

Utilizes clinical judgment
and critical thinking skills to help member’s achieve maximum physical and
behavioral health through assessment and care planning, direct provider
coordination/collaboration to promote effective utilization of available
resources resulting in optimal, cost effective outcomes. Utilizes motivational
interviewing skills to ensure maximum member engagement. Provides coaching,
information, goal development and support to the member and the case manager assisting in order
to empower the member to make ongoing independent medical and lifestyle

Background Experience:

2 years experience in medical social work, case management and/or discharge planning.
Complies with all state requirements in the state where job duties are performed.

EDUCATION required

Bachelor's or Master's degree must be in Social Work where required by state law.
Bachelor’s degree in Social Work, Psychology or Gerontology required.
Masters degree preferred.

LICENSE required
Requires an LSW or MSW with unrestricted active license for the state of North Carolina.

Multiple state licensure/certification preferred but not required.

Additional Job Information:
Knowledge of the regulations, standards, and policies which relate to social work practice.
Knowledge of individual and group behavior and inter-relationships among social, economic psychological and physical factors.
Extensive knowledge of community resources.
Thorough knowledge of casework and group work principles, practices, and methodology.

Required Skills:
Leadership - Collaborating for Results, Benefits Management - Interacting with Medical Professionals, Benefits Management - Understanding Clinical Impacts

Functional Skills:
Medical Management - Medical Management - Case Management, Medical Management - Medical Management - Discharge planning

Technology Experience:
Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft Word

Mental Health - Licensed Clinical Social Worker, Mental Health - Licensed Master Social Worker (LMSW), Mental Health - Licensed Social Worker (LSW)

Potential Telework Position:

Percent of Travel Required:
0 - 10%

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

Click To Review Our Benefits (PDF)


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