Clinical Case Manager- Social Worker

Job Description

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. You’ll work remotely, but your impact will be deeply personal, helping members achieve wellness and autonomy through education, support, and compassionate coordination

What You’ll 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 insight—not the driver of care—to 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 You’ll Need to Have

• Master’s 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 We’d 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 Guidehealth’s 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 Guidehealth’s 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.