Field Care Manager, Social Worker

Humana • Canton, MI

5d • $65,000 - $88,600 • Hybrid

About The Position

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.

Requirements

• 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

Nice To Haves

• 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

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.

Benefits

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level