Field Care Manager - Social Worker

Become a part of our caring community
 

The Field Care Manager, Behavioral Health 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Field Care Manager, Behavioral Health 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

The Social Worker Field Care Manager employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues.

Position Responsibilities:

• Manage a caseload and complete comprehensive assessments with members in their home or community‑based settings, as well as telephonically.
• Provide clinical support and guidance, collaborating with Interdisciplinary Care Team (ICT) participants to support members with medical complexity.
• Develop and coordinate individualized care plans, ensuring members receive appropriate services to effectively 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 and/or maintain optimal well‑being through ongoing assessment of care needs.
• Develop and modify Individual Care Plans, involving applicable members of the care team (informal caregivers, health coaches, PCPs, etc.).
• Support members and/or caregivers using an interdisciplinary approach to access social, housing, educational, and other community resources, regardless of funding source.
• Serve as the primary point of contact for the ICT, coordinating with members, care team participants, and external resources to ensure comprehensive care delivery.

Use your skills to make an impact
 

Required Qualifications

• Must reside in the State of Michigan with the ability to travel to Wayne and Macomb counties (15–20%).
• Bachelor’s degree in Social Work (BSW) from an accredited institution.
• Active Michigan social work licensure in good standing, including one of the following: LLBSW, LBSW, LLMSW, LMSW, or LCSW. Limited license holders must demonstrate intent and active progress toward full licensure.
• 2+ years of post-degree clinical or care management experience in a behavioral health, medical, or community-based setting.
• Experience working with adult populations, including chronic conditions and disease management.
• Knowledge of community health resources, social service agencies, and support programs.
• Ability to travel to the region-based facilities and in-home to conduct face-to-face assessments with Medicare/Medicaid members, as well as telephonic engagement.
• Valid driver’s license with reliable transportation.
• Strong communication and interpersonal skills with the ability to quickly build rapport.
• Ability to work with minimal supervision and independently within defined role scope
• Proficiency using electronic medical records and other healthcare-related software systems.
• Excellent keyboard and web navigation skills
• Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel

Preferred Qualifications

• Licensed Master's prepared Social Worker (LMSW/LCSW)
• Experience with in-home assessment and care coordination
• Experience with health promotion, coaching and wellness
• Experience with Medicaid Long Term Care
• Previous managed care experience
• Bilingual- Spanish, Arabic or Chaldean Neo-Aramaic
• Motivational Interviewing Certification and/or knowledge

Additional Information

• Schedule/Time Zone: Monday through Friday, 8:30 AM – 5:00 PM or 9:00 AM – 5:30 PM Easter Time Zone, with flexibility to work overtime as needed
• Work Location: Michigan, with the ability to travel to Wayne and Macomb counties
• Work Style: Hybrid (80% remote / 20% field)
• Travel Requirements: Up to 20%, including travel to Wayne and Macomb counties

TB Statement: This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$65,000 - $88,600 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us
 

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.