Remote Social Worker - Care Coordination

Humana; Kentucky; On-site; USD 59,000 - 81,000; Full time

Benefits offered by this job

Bonus incentive plan

Medical, dental and vision benefits

Job summary

Humana is seeking a licensed Master’s-level Social Worker to join our SNP program in a remote, work-from-home setting. You will conduct telephonic outreach, assess social determinants of health, coordinate care with plan benefits and community resources, and engage with interdisciplinary teams to support member goals.

You will document all interactions in the member record, ensure CMS compliance, and manage care plans, with emphasis on patient-centered outcomes and timely follow-up.

Qualifications

• Master's degree in social work from an accredited university.
• Must have passed the ASWB Master's-Level exam.
• Minimum 3 years of experience working as a social worker in a medical healthcare setting (i.e. hospital setting, clinic).
• Proficient in Microsoft applications including Word, Outlook, Excel.
• Capacity to manage multiple or competing priorities including use of multiple computer applications simultaneously.
• Must be willing to obtain/maintain social work licensure in multiple states, based on business need.

Responsibilities

• Serve as a Licensed, Master's-level Social Worker within the Special Needs Plan (SNP) program, functioning as a Support Social Services associate and interdisciplinary care team member.
• Conduct telephonic outreach to members with social determinants of health (SDOH) needs to assess, support, and coordinate care using plan benefits and community resources.
• Utilize structured assessments to determine appropriate interventions, including care coordination, health education, resource connection, and advocacy.
• Collaborate with interdisciplinary team members (e.g., nurse care managers, dietitians, behavioral health, pharmacists), providers, and community partners to address member needs.
• Handle both outbound and inbound member interactions in a telephonic, work-from-home environment; perform follow-up as needed to ensure all needs are addressed.
• Assess members for additional support needs and initiate referrals to appropriate disciplines based on individualized circumstances.
• Develop, update, and maintain member care plans as needed to support ongoing care coordination.
• Document all interactions and care activities accurately in the member record to ensure CMS compliance and reflect engagement with members and care teams.

Skills

Multitasking

Telephonic outreach

Care coordination

Interdisciplinary collaboration

Education

Master's degree in social work

Tools

MS Office

Epic EMR

Job description

Humana is seeking a licensed Master’s-level Social Worker to join our SNP program in a remote, work-from-home setting. You will conduct telephonic outreach, assess social determinants of health, coordinate care with plan benefits and community resources, and engage with interdisciplinary teams to support member goals.

You will document all interactions in the member record, ensure CMS compliance, and manage care plans, with emphasis on patient-centered outcomes and timely follow-up.