Clinical Case Manager- Social Worker

Company Description

WHO IS GUIDEHEALTH? 

Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. 

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, LMSW, 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 ne