Clinical Case Manager- Social Worker

As a Care Manager you will be a trusted guide for patients and families navigating complex health journeys. This role blends your clinical expertise with a holistic approach to care addressing medical behavioral and social needs. Youll work remotely but your impact will be deeply personal helping members achieve wellness and autonomy through education support and compassionate coordination

What Youll Be Doing

• Build meaningful relationships with patients and families understanding their goals barriers and motivators.

• Creating personalized care plans that go beyond diagnoses addressing social determinants emotional well-being and behavioral health when applicable.

• Coordinate care across providers and settings ensuring safety quality and continuity.

• Educate and empower members to make informed decisions and navigate the healthcare system confidently.

• Identifying and coordinating access to community-based resources and services and ensuring implementation for the member.

• Collaborate with an interdisciplinary team (inpatient outpatient home health etc.) sharing insights and advocating for whole-person health.

• Use data as a tool for insightnot the driver of careto identify opportunities and measure impact while keeping the patient at the center.

• Maintain compliance with regulatory standards while prioritizing compassion and connection.

Qualifications :

Qualifications What Youll Need to Have

• Masters degree in social work (MSW)

• Minimum of five (5) years of clinical experience across diverse healthcare settings including medical and behavioral health.

• Strong background in care management as well as complex and chronic condition management both inpatient and outpatient.

• Skilled in motivational interviewing patient education and patient advocacy.

• Ability to work independently in a remote environment while staying connected to the team.

• Comfort with technology and multiple EMR systems.

• Possession of software knowledge including word processing and spreadsheets computer skills including MS Word Excel Access PDF Outlook etc.

What Wed Love for You to Have

• LCSW LCSW LCPC or LCP

• Perinatal Mental Health Certification (PHM-C)

• Specialty Certification in Care Management (CCM or ACM)

• Previous remote and/or telephonic work experience

• Knowledge of utilization review quality improvement managed care and/or community health

Additional Information :

All your information will be kept confidential according to EEO guidelines.

ALIVE with Purpose: How We Thrive at Guidehealth

At Guidehealth our values come to life in everything we do.

• We are Driven by Accountability grounded in transparency reliability and integrity as we navigate challenges and opportunities alike.
• Always Growing Always Learning staying curious and continuously improving inspires us to shape a better future for healthcare.
• With Collaborative Innovation we solve problems creatively making every experience better for our employees and the patients we serve.
• At Guidehealth Every Voice Matters we believe our collective strength is rooted in the unique perspectives of each team member.
• And through Empathy in Action we build stronger connections with those who count on us.
• This is what it means to be ALIVE with purpose. This is how we thrive together at Guidehealth.

BENEFITS:

While you are hard at work advancing value-based healthcare we are here to ensure YOU have the care you and your family need and the opportunities for growth and development. Our commitments to you include:

• Work from Home: Guidehealth is a fully remote company providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs.
• Keep Health a Priority: We offer comprehensive Medical Dental and Vision plans to keep you covered.
• Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution.
• Have Peace of Mind: We provide Life and Disability insurance for those just in case moments. Additionally we offer voluntary Life options to keep you and your loved ones protected.
• Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times.
• Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals.
• Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need.
• Learn and Grow: Your professional growth is important to us. Guidehealth offers various resources dedicated to your learning and development to advance your career with us.

All full-time employees of Guidehealth who work 30 hours per week or more are eligible for our comprehensive benefits package. Temporary employees and contractors are not eligible for benefits.

COMPENSATION:

The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include but are not limited to: skill set years of relevant experience education location and licensure/certifications.

OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT

Diversity inclusion and belonging are at the core of Guidehealths values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race religious creed color age sex sexual orientation and identity national origin citizenship religion marital status familial status physical sensory or medical disability Family and Medical Leave military or veteran status pregnancy childbirth or other related medical conditions or any other classification protected by federal state and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring placement promotion transfer demotion layoff termination recruitment advertising pay and other forms of compensation training and general treatment during employment.

OUR COMITTMENT TO PROTECTION OF PATIENT AND COMPANY DATA

This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealths custodianship as well as Guidehealth Intellectual Properties. For any security-specific roles the responsibilities would be further defined by the hiring manager.

As a remote-first organization handling sensitive healthcare data Guidehealth verifies candidate identity at multiple stages of the hiring and onboarding to safeguard patient privacy data security and compliance requirements.

REMOTE WORK TECHNICAL REQUIREMENTS

Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet connection capable of conducting video calls on camera and connecting to various internal and external systems. The required internet speed is a minimum of 100 mbps download 10 mbps upload. Please run a speed test here to confirm your internet connection meets these requirements.

Remote Work :

Yes

Employment Type :

Full-time

Key Skills
Motivational Interviewing,Acute Care,Crisis Intervention,Behavioral Health,Intake Experience,Hospice Care,Case Management,Home Care,Child Welfare,Experience with Children,Social Work,Addiction Counseling
Experience: years
Vacancy: 1