Field Care Manager - Social Worker
$65k - $88.6k/yr+ Bonus incentive plan
Mid
Bachelor's, Master's
Dearborn, MI, USA+12 moreMore locations: Detroit, MI, USA | Bruce Township, MI, USA | Flat Rock, MI, USA | Southgate, MI, USA | Mt Clemens, MI, USA | Canton, MI, USA | Independence Township, MI, USA | Macomb Township, MI, USA | Richmond Township, MI, USA | Sterling Heights, MI, USA | Grosse Pointe Woods, MI, USA | Warren, MI, USA
HybridMust reside in Michigan and travel to Wayne and Macomb counties; hybrid schedule is 80% remote and 20% field, with up to 20% travel. Must work Eastern Time Zone hours.
Social & Community ServicesCase Management & Advocacy
About the job
Requirements
- Must reside in Michigan and be able to travel to Wayne and Macomb counties.
- A Bachelor of Social Work (BSW) from an accredited institution is required.
- Active Michigan social work licensure in good standing is required: LLBSW, LBSW, LLMSW, LMSW, or LCSW. Limited-license holders must demonstrate intent and active progress toward full licensure.
- At least 2 years of post-degree clinical or care management experience in a behavioral health, medical, or community-based setting is required.
- Experience working with adult populations, including chronic conditions and disease management, is required.
- Knowledge of community health resources, social service agencies, and support programs is required.
- Ability to travel to regional facilities and members' homes to conduct face-to-face assessments with Medicare and Medicaid members, as well as engage by telephone, is required.
- A valid driver's license and reliable transportation are required.
- Ability to work with minimal supervision and independently within the defined role scope is required.
- Proficiency with electronic medical records and other healthcare-related software systems is required.
- Excellent keyboard and web navigation skills are required.
- Intermediate to advanced computer skills and experience with Microsoft Word, Outlook, and Excel are required.
- The role requires a dedicated workspace without ongoing interruptions to protect member PHI and HIPAA information, and home internet with at least 25 Mbps download and 10 Mbps upload speed.
Responsibilities
- Manage a caseload and complete comprehensive assessments with members in home or community-based settings and by telephone.
- Provide clinical support and guidance, collaborating with Interdisciplinary Care Team participants to support members with medical complexity.
- Develop and coordinate individualized care plans to ensure members receive appropriate services to manage their health needs.
- Identify and address barriers to care while advocating for optimal member outcomes.
- Review, assess, and complete medical attestations and provide ongoing clinical oversight.
- Ensure members receive services in the least restrictive setting to achieve or maintain optimal well-being through ongoing assessment of care needs.
- Develop and modify Individual Care Plans with applicable care-team members, including informal caregivers, health coaches, and primary care providers.
- Support members and caregivers in accessing social, housing, educational, and other community resources, regardless of funding source, using an interdisciplinary approach.
- Serve as the primary point of contact for the Interdisciplinary Care Team, coordinating with members, care-team participants, and external resources to ensure comprehensive care delivery.
- Work Monday through Friday on the stated Eastern Time Zone schedule, with flexibility to work overtime as needed.
- Travel occasionally to Humana offices for training or meetings.
Desired Qualifications
- A licensed master's-prepared Social Worker (LMSW or LCSW) is preferred.
- Experience with in-home assessment and care coordination is preferred.
- Experience with health promotion, coaching, and wellness is preferred.
- Experience with Medicaid Long Term Care is preferred.
- Previous managed care experience is preferred.
- Bilingual ability in Spanish, Arabic, or Chaldean Neo-Aramaic is preferred.
- Motivational Interviewing certification and/or knowledge is preferred.
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
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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