Remote Social Worker (SNP) – Care Coordination

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

Benefits offered by this job

Bonus incentive plan

Work from home

Competitive benefits

Job summary

Humana is hiring a Social Worker in a telephonic, remote environment to assess and coordinate care for members with social determinants of health. You will develop and maintain care plans, collaborate with care teams, and document activities for CMS compliance.

The role requires an MSW, LMSW/LCSW/LICSW license, ASWB exam, and 3+ years in a medical setting. Travel occasionally for training; 40-hour week with EST business hours.

Qualifications

• Master's degree in social work from an accredited university.
• Current, unencumbered social work license (LMSW, LCSW, or LICSW).
• Must have passed the ASWB Master's-Level exam.
• Minimum 3 years of experience as a social worker in a medical healthcare setting.
• Proficient in Microsoft 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.

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

Microsoft Word

Microsoft Outlook

Microsoft Excel

care coordination

Education

MSW license (LMSW/LCSW/LICSW)

ASWB Master's-Level exam

Tools

Epic EMR

Job description

Humana is hiring a Social Worker in a telephonic, remote environment to assess and coordinate care for members with social determinants of health. You will develop and maintain care plans, collaborate with care teams, and document activities for CMS compliance.

The role requires an MSW, LMSW/LCSW/LICSW license, ASWB exam, and 3+ years in a medical setting. Travel occasionally for training; 40-hour week with EST business hours.