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

Job summary

Humana Inc. is seeking a Field Care Manager, Social Work in Michigan to assess and support members’ health, safety and independence in Long-Term Services and Supports. The role involves guiding members and families to access necessary resources and services.

The position requires licensure, 2+ years in social work, and significant travel within Wayne and Macomb Counties. Remote work options apply with a 75%–90% travel expectation and a $5,000 sign-on bonus if terms are met.

Qualifications

• Active Michigan Social Work license in good standing required (LBSW, LLMSW, or LMSW).
• 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 LTSS assessments and knowledge of LTSS/HCBS Medicaid requirements.

Responsibilities

• Assess and evaluate members’ needs to help achieve optimal health, safety, independence and quality of life.
• Guide members and families in accessing resources and services relevant to care and well-being.
• Maintain documentation in EMR and care management platforms in accordance with guidelines.

Skills

Verbal communication

Written communication

Interdisciplinary collaboration

Care coordination

Customer focus

Education

Michigan Social Work license (LBSW/LLMSW/LMSW)

Tools

Electronic Medical Records

Care management platforms

Microsoft Word

Outlook

Excel

Job description

Become a part of our caring community $5,000 Sign-On Bonus: Subject to applicable terms and conditions. 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. 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.
• 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 Arabic or Chaldean Neo-Aramaic, or 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 & Pay Range

Scheduled Weekly Hours: 40

Pay Range: $65,000 - $88,600 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. 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.

Description of 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 and many other opportunities.

About us

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.

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.