[Hiring] Field Care Manager @Humana

Role Description

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.

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.

Requirements

• Fluent in English and Arabic or Chaldean, with the ability to speak, read, and write each language independently and without assistance.

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.
• Many other opportunities.

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.
• Eligible mileage includes travel from your home to your first work location of the day, travel between client or assignment locations during the workday, and travel from your final work location back to your home.
• Work at Home Requirements: Minimum internet speed of 25 Mbps download and 10 Mbps upload is required.
• Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
• Scheduled Weekly Hours: 40.
• Pay Range: $65,000 - $88,600 per year.
• This job is eligible for a bonus incentive plan based upon company and/or individual performance.