Field Care Manager & Behavioral Health Social Worker

Humana; Bruce Township (MI); Hybrid; USD 65,000 - 89,000; Full time

Job summary

Humana is hiring a Field Care Manager, Behavioral Health 2 in Michigan. You will manage a caseload, perform comprehensive home and community assessments, and coordinate care with the interdisciplinary team to support members with behavioral health needs.

You will develop individualized care plans, address barriers to access, and provide clinical oversight while traveling up to 20% to Wayne and Macomb counties. The role is hybrid with most work from home.

Qualifications

• 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.
• 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

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.

Skills

Case management

Home visits

Interdisciplinary teamwork

Communication skills

Telephonic engagement

Education

Bachelor's degree in Social Work (BSW)

Tools

EMR systems

Microsoft Word

Outlook

Excel

Job description

Humana is hiring a Field Care Manager, Behavioral Health 2 in Michigan. You will manage a caseload, perform comprehensive home and community assessments, and coordinate care with the interdisciplinary team to support members with behavioral health needs.

You will develop individualized care plans, address barriers to access, and provide clinical oversight while traveling up to 20% to Wayne and Macomb counties. The role is hybrid with most work from home.