Social Worker - Field - Gwinnett County, GA

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. Program Overview Join our Aetna team as we lead the way in providing exceptional care to dual eligible populations! This role involves up to 65% 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 i...