Remote Field Care Manager & Social Worker

Humana Inc; Southgate (MI); Hybrid; USD 65,000 - 89,000; Full time

Job summary

Humana Inc is seeking a Field Care Manager, Behavioral Health 2 to assess and coordinate care for members in home or community settings, including telephonic contacts, with emphasis on managing medical complexity through ICT collaboration.

The role requires Michigan residency, active MI social work license (LMSW/LCSW variants), a BSW, 2+ years of post-degree clinical or care management experience, and ability to travel 15–20% to Wayne and Macomb counties; hybrid work model offered.

Qualifications

• 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: LLBSW, LBSW, LLMSW, LMSW, or LCSW.
• 2+ years of post-degree clinical or care management experience in behavioral health, medical, or community-based settings.
• Experience with adult populations, including chronic conditions and disease management.
• Knowledge of community health resources, social service agencies, and support programs.
• Ability to travel to region-based facilities and in-home for face‑to‑face assessments and telephonic engagement.
• Valid driver’s license with reliable transportation.
• Strong communication and interpersonal skills with the ability to build rapport.
• Ability to work with minimal supervision and independently within defined role scope
• Proficiency using EMR and other healthcare‑related software systems.
• Excellent keyboard and web navigation skills
• Intermediate to Advanced computer skills and experience with 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 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 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 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

Caseload management

Communication skills

Independent work

Microsoft Word

Outlook

Excel

EMR proficiency

Education

Bachelor’s degree in Social Work (BSW)

Michigan social work license (MI Licensure)

Tools

Electronic Medical Records (EMR)

Microsoft Word

Outlook

Excel

Job description

Humana Inc is seeking a Field Care Manager, Behavioral Health 2 to assess and coordinate care for members in home or community settings, including telephonic contacts, with emphasis on managing medical complexity through ICT collaboration.

The role requires Michigan residency, active MI social work license (LMSW/LCSW variants), a BSW, 2+ years of post-degree clinical or care management experience, and ability to travel 15–20% to Wayne and Macomb counties; hybrid work model offered.