Field Care Manager - Multiple Teams
$65k - $88.6k/yr+ Performance-based bonus incentive + $5,000 sign-on bonus
Mid
Michigan, USA
HybridMust reside in Michigan and travel 75%–90% within Wayne and/or Macomb Counties; occasional office visits may be required.
Social & Community ServicesCase Management & Advocacy
About the job
Requirements
- Must reside in Michigan and be able to travel throughout the assigned service area, including Wayne and/or Macomb Counties.
- Must be fluent in English and Arabic or Chaldean Neo-Aramaic and able to speak, read, and write each language independently and without assistance.
- Must hold an active Michigan Social Work license in good standing (LBSW, LLMSW, or LMSW); candidates with a limited license must demonstrate active progress toward full licensure.
- Must have at least 2 years of post-degree experience in social work, behavioral health, health care, care management, or community-based services.
- Must have at least 1 year of experience supporting Home and Community-Based Services (HCBS) and/or waiver programs.
- Must have experience conducting Long-Term Services and Supports (LTSS) assessments.
- Must be able to assess functional, behavioral, environmental, and psychosocial needs to support eligibility determinations, service planning, risk identification, and care coordination.
- Must know LTSS, HCBS, Medicaid requirements, person-centered planning principles, member rights, and how to support members in the least restrictive setting.
- Must have experience collaborating with interdisciplinary teams, health care providers, members, caregivers, and community-based organizations.
- Must know community health, behavioral health, social service agencies, and local resources.
- Must be able to maintain accurate, timely, and compliant documentation in accordance with organizational, state, and federal requirements.
- Must be able to use electronic medical records, care management platforms, and other health care technology applications.
- Must be proficient with Microsoft Word, Outlook, Excel, and web-based applications.
- Must have a valid state driver’s license and personal vehicle liability insurance meeting applicable minimum requirements.
- Must complete tuberculosis screening if selected for this patient-facing role.
- For work from home, internet service must provide at least 25 Mbps download and 10 Mbps upload, and the employee must work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information.
Responsibilities
- Manage an assigned caseload and complete comprehensive assessments, applying a social work lens to functional, behavioral, environmental, caregiver, and psychosocial findings with members in their homes or other community-based settings, and telephonically or virtually when appropriate.
- Conduct comprehensive InterRAI Integrated Health Care assessments to evaluate members’ functional, cognitive, behavioral, environmental, social, and psychosocial needs and support person-centered care planning and LTSS service coordination; identify clinical findings requiring RN review or intervention.
- Contribute to Nursing Facility Level of Care Determination activities within the role’s scope and collaborate with licensed nursing staff when clinical review or medical complexity assessment is required.
- Develop, implement, monitor, and modify individualized person-centered care plans in collaboration with the member, authorized representative, caregivers, providers, and other members of the Interdisciplinary Care Team.
- Serve as a primary point of contact for the Interdisciplinary Care Team and coordinate with members, care team participants, and external resources to ensure identified needs are addressed.
- Assess social determinants of health and identify barriers related to housing, food access, transportation, safety, behavioral health, caregiver support, education, finances, and access to health care and community services.
- Coordinate and facilitate access to Medicaid, Medicare, HCBS waiver, behavioral health, medical, social, housing, educational, and other community resources, regardless of funding source.
- Support members in receiving services in the least restrictive and most integrated setting appropriate to their needs, preferences, health, welfare, and independence.
- Provide ongoing monitoring, care coordination, advocacy, and follow-up to evaluate progress toward care plan goals and identify changes in condition, function, risk, caregiver capacity, or service needs.
- Apply person-centered planning, motivational interviewing, trauma-informed care, and culturally responsive engagement techniques to build rapport and support informed member choice.
- Identify and escalate urgent health, safety, abuse, neglect, exploitation, behavioral health, or service-access concerns in accordance with organizational and regulatory requirements.
- Collaborate with nursing, behavioral health, primary care, specialists, waiver service providers, community agencies, and caregivers to promote continuity of care and reduce avoidable institutionalization.
- Complete timely, accurate, and compliant documentation of assessments, care plans, contacts, interventions, referrals, authorizations, and outcomes in designated electronic systems.
Desired Qualifications
- Experience conducting InterRAI Integrated Health Care assessments and using assessment findings to inform person-centered care planning.
- Knowledge of or experience supporting Nursing Facility Level of Care Determinations in collaboration with licensed clinical staff.
- Experience with Medicaid, Medicare, dual-eligible populations, behavioral health, chronic conditions, disability services, or complex care management.
- Previous managed care experience.
- Experience with health promotion, coaching, wellness, motivational interviewing, and trauma-informed care.
- Fluency in English and Spanish, with the ability to speak, read, and write each language independently and without assistance.
About the company
Humana sells health insurance paid for by government programs, chiefly Medicare Advantage plans that private insurers run for Americans 65 and older in place of traditional Medicare. It ranks among the largest Medicare Advantage insurers in the country and also runs Medicaid plans for low-income families in several states. Its CenterWell business operates senior primary care clinics, a mail-order pharmacy and home health services, so many members get care from a company the insurer owns. Medicare and states pay Humana a set monthly amount per member, and it keeps the difference between those payments and members' medical costs. Humana was founded in 1961 as a nursing home company and is based in Louisville, Kentucky.
Company Size
10,001+
Company Stage
IPO
Headquarters
Louisville, Kentucky
Founded
1961
Get referred to Humana
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Simplify's Take
What believers are saying
- Enrollment is surging: in July 2026 Humana affirmed about 25% individual Medicare Advantage membership growth for 2026.
- Owned clinics create clinical careers: CenterWell Senior Primary Care added 130,900 patients, up 27%, in early 2026.
- Medicaid is widening: Illinois chose Humana in June 2026 to run Medicaid coverage statewide.
What critics are saying
- Low quality scores cut Medicare bonuses: only 20% of Humana's members sat in 4-star or better plans for 2026.
- The insurer is shrinking to save margins: about 600,000 Medicare Advantage members got plan-closure notices in October 2026.
- Stock grants carry risk: in July 2026 Humana cut its 2026 GAAP earnings floor to $6.52 a share from $8.36.
What makes Humana unique
- Military families are a second market: Humana runs the Pentagon's TRICARE health plan across 24 eastern states and Washington, DC.
- Florida anchors the business: Humana's Medicare Advantage contracts there produced 14% of its 2025 revenue.
- Medicaid is a quiet second insurer: Humana covers over 1.54 million low-income members across 11 states.
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Benefits
- Health Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- Disability Insurance
- Unlimited Paid Time Off
- Paid Vacation
- Paid Parental Leave
- Short-term Disability
- Long-term Disability
- 401(k) Retirement Plan
- 401(k) Company Match