Guidehealth is hiring a Clinical Case Manager - Social Worker to serve as a trusted guide for patients and families navigating complex health journeys. In this remote role, you will blend clinical expertise with a holistic approach to address medical, behavioral, and social needs, helping members achieve wellness and autonomy.
What You'll Do
- Build meaningful relationships with patients and families, understanding their goals, barriers, and motivators.
- Create personalized care plans addressing social determinants, emotional well-being, and behavioral health.
- 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.
- Identify and coordinate access to community-based resources and services.
- Collaborate with an interdisciplinary team, sharing insights and advocating for whole-person health.
- Use data as a tool for insight to identify opportunities and measure impact while keeping the patient at the center.
- Maintain compliance with regulatory standards while prioritizing compassion and connection.
What We're Looking For
- 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.
Nice 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.
Technical Stack
- Multiple EMR systems
- MS Word, Excel, Access, PDF, Outlook
Team & Environment
You will collaborate with an interdisciplinary team (inpatient, outpatient, home health, etc.), sharing insights and advocating for whole-person health.
Benefits & Compensation
- Compensation: USD68,000 - USD70,000 yearly
- Comprehensive Medical, Dental, and Vision plans.
- 401(k) plan with a 3% employer match to your 6% contribution.
- Life and Disability insurance; voluntary Life options.
- Employee Assistance Program (EAP).
- Paid time off plans.
- Paid parental leave.
- Resources dedicated to learning and development.
Work Mode
This is a fully remote position.
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.
