Field Care Manager, Social Work (LTSS, HCBS, Waiver programs)

Humana • Chittenden, VT

3d • $65,000 - $88,600 • Remote

About The Position

The LTSS Field Care Manager, Social Work assesses and evaluates members’ needs and requirements to help them achieve and maintain optimal health, safety, independence, and quality of life. This role guides members and families in accessing resources and services appropriate to their care and well-being. Assignments are varied and frequently require interpretation, sound professional judgment, and independent determination of the appropriate course of action. The Social Work Field Care Manager applies person-centered, trauma-informed, and culturally responsive strategies to address members’ functional, behavioral, environmental, and psychosocial needs within Michigan’s Long-Term Services and Supports and Home and Community-Based Services programs.
The Field Care Manager, Behavioral Health 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. May create member care plans. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

Requirements

• Must reside in Michigan and be able to travel throughout the assigned service area, including Wayne and/or Macomb Counties.
• Active Michigan Social Work license in good standing required (LBSW, LLMSW, or LMSW). Candidates with a limited license must demonstrate active progress toward full licensure.
• 2+ years of post-degree experience in social work, behavioral health, health care, care management, or community-based services.
• 1+ year of experience supporting Home and Community-Based Services (HCBS) and/or waiver programs.
• Experience conducting Long-Term Services and Supports (LTSS) assessments.
• Ability to assess functional, behavioral, environmental, and psychosocial needs to support eligibility determinations, service planning, risk identification, and care coordination.
• Knowledge of LTSS, HCBS, Medicaid requirements, person-centered planning principles, member rights, and supporting members in the least restrictive setting.
• Experience collaborating with interdisciplinary teams, health care providers, members, caregivers, and community-based organizations.
• Knowledge of community health, behavioral health, social service agencies, and local resources.
• Demonstrated ability to maintain accurate, timely, and compliant documentation in accordance with organizational, state, and federal requirements.
• Strong verbal and written communication skills with the ability to build effective relationships with members, families, caregivers, providers, and community partners.
• Proficiency using electronic medical records, care management platforms, and other health care technology applications.
• Strong computer skills, including proficiency with Microsoft Word, Outlook, Excel, and web-based applications.
• Must complete TB screening.
• Requires a valid state driver’s license and personal vehicle liability insurance.
• Must maintain coverage that meets the minimum requirements of their state of residence or $25,000 for bodily injury per person, $25,000 for bodily injury per accident, and $10,000 for property damage, whichever is higher.

Nice To Haves

• Fluent in English and Arabic or Chaldean, with the ability to speak, read, and write each language independently and without assistance.

Responsibilities

• Assesses and evaluates members’ needs and requirements to help them achieve and maintain optimal health, safety, independence, and quality of life.
• Guides members and families in accessing resources and services appropriate to their care and well-being.
• Applies person-centered, trauma-informed, and culturally responsive strategies to address members’ functional, behavioral, environmental, and psychosocial needs.
• Employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues.
• Identifies and resolves barriers that hinder effective care.
• Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.
• May create member care plans.

Benefits

• Medical
• Dental
• Vision
• 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
• Sign-on bonus

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed