Description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Location: This role will be work at home with 25-50% travel within Sussex, Passaic, Bergen, Hudson, Morris, Warren counties in New Jersey.

Schedule: Standard business hours Monday-Friday 8:00am-5:00pm EST.

Position Summary

The Licensed Clinical 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.

Our Mission

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 a life-changing impact on our 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 dually eligible members to change lives in markets across the country.

Help us elevate our patient care to a whole new level!

Key Responsibilities

• Fundamental Components Social work activities will focus on quality of care, compliance, outcomes and decreasing costs.
• Responsible for developing and carrying out strategies to coordinate and integrate services to members to prevent exacerbations and/or placement of the members in custodial care.
• Applies social work concepts, principles, and strategies in addressing the social determinants of health needs in members individualized care plan.
• Collaborates with providers, primary care physicians, medical directors, pharmacists, and care management staff regarding the status of members and progress towards goals.
• 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 resources.
• 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 improvement issues.
• 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 referral.

Remote Work Expectations

• This is a remote role with 25-50% travel required, candidates must have a dedicated workspace free of interruptions.
• Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted.

Required Qualifications

• Minimum of 2 years' experience in medical social work or case management.
• Complies with all state requirements in the state where job duties are performed.
• New Jersey Licensed Clinical Social Worker (LCSW) required.
• Must reside in Northern New Jersey.

Preferred Qualifications

• Bilingual Preferred.

Education

• Master's degree must be in Social Work.

Anticipated Weekly Hours
40

Time Type
Full time

Pay Range

The typical pay range for this role is:

$51,256.00 - $111,351.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 05/25/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.