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

Humana Inc; Michigan; Hybrid; USD 65,000 - 89,000; Full time

Benefits offered by this job

Sign-On Bonus

Bonus incentive plan

Travel 75-90% within Michigan

Job summary

Humana Inc. seeks a LTSS Bilingual Field Care Manager, Social Worker in Michigan to assess and plan care for members in home and community settings, with a $5,000 sign-on bonus.

This role requires Arabic and/or Chaldean Neo-Aramaic fluency and a current Michigan social work license, with 2+ years post-degree experience. The position involves coordinating LTSS/HCBS services, conducting InterRAI assessments, and collaborating with interdisciplinary teams to support members in least restrictive

Qualifications

• Must reside in Michigan and be able to travel throughout the assigned service area, including Wayne and/or Macomb Counties.
• Fluent in English and Arabic or Chaldean Neo-Aramaic, with the ability to speak, read, and write each language independently and without assistance.
• 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.
• Knowledge of LTSS, HCBS, Medicaid requirements, person-centered planning principles, member rights, and supporting members in the least restrictive setting.
• Strong documentation skills and proficiency with EMRs and care management platforms.
• Strong verbal and written communication skills with the ability to build effective relationships with members, families, caregivers, providers, and community partners.

Responsibilities

• Assess and coordinate LTSS needs and care planning for members in home/community settings.
• Conduct InterRAI Integrated Health Care assessments to evaluate functional, cognitive, behavioral, environmental, and psychosocial needs.
• Develop, implement, monitor, and modify individualized person-centered care plans in collaboration with the member and care team.
• Serve as primary contact for the Interdisciplinary Care Team and coordinate with care team members and external resources.
• Identify and address urgent health, safety, or service-access concerns per policy and regulatory requirements.
• Complete timely, accurate documentation of assessments, care plans, contacts, interventions, referrals, and outcomes in designated systems.

Skills

English & Arabic/Chaldean Neo-Aramaic

Michigan Social Work license

Post-degree experience

HCBS/waiver program experience

LTSS assessments

Interdisciplinary teamwork

EMR/Care management platforms

MS Word/Outlook/Excel

Tools

EMR systems

Care management platforms

Microsoft Word

Outlook

Excel

Web-based applications

Job description

Become a part of our caring community $5,000 Sign-On Bonus: Subject to applicable terms and conditions. The LTSS Bilingual Field Care Manager, Social Worker 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. 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. Assignments are varied and frequently require interpretation, sound professional judgment, and independent determination of the appropriate course of action. Bilingual in Arabic and/or Chaldean Neo-Aramaic 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, as well as 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. Social worker identifies clinical findings that require RN review or intervention. Contribute to Nursing Facility Level of Care Determination activities within the role’s scope, collaborating 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 elevate urgent health, safety, abuse, neglect, exploitation, behavior 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. Use your skills to make an impact $5,000 Sign-On Bonus: Subject to applicable terms and conditions.

Required Qualifications

• Must reside in Michigan and be able to travel throughout the assigned service area, including Wayne and/or Macomb Counties.
• Fluent in English and Arabic or Chaldean Neo-Aramaic, with the ability to speak, read, and write each language independently and without assistance.
• 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.

Preferred 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.
• Fluent in English and Spanish, with the ability to speak, read, and write each language independently and without assistance.

Additional Information

• Schedule/Time Zone: Monday through Friday, 8:30 AM – 5:00 PM Eastern Time Zone
• Work Location: Michigan (Wayne and Macomb Counties)
• Work Style: Field
• Travel Requirements: 75%–90% travel within Wayne and/or Macomb Counties, Michigan
• TB Statement: This patient-facing role is part of Humana’s Tuberculosis (TB) screening program. Candidates selected for this role must complete TB screening.
• Driving Statement: This role is part of Humana’s Driver Safety Program and requires a valid state driver’s license and personal vehicle liability insurance. The individual 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 event, and $10,000 for property damage, whichever is higher. Eligible mileage includes: Travel from your home to your first work location of the day. Travel between client or assignment locations during the workday. Travel from your final work location back to your home
• 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: $65,000 - $88,600 per year
• This job is eligible for a bonus incentive plan.

Description of Benefits

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 atHumana.comand atCenterWell.com.

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.