Humana

Field Care Manager - LMSW/LCSW

Michigan, United States

Not SpecifiedCompensation
Mid-level (3 to 4 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, InsuranceIndustries

Field Care Manager, Behavioral Health 2

Employment Type: Full-time

Position Overview

Become a part of our caring community and help us put health first. The Field Care Manager, Behavioral Health 2 assesses and evaluates member's needs and requirements to achieve and/or maintain an optimal wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and well-being of members. This role involves varied work assignments that frequently require interpretation and independent determination of appropriate courses of action.

Location Requirements:

  • Must reside in Michigan.
  • Ability to drive to Wayne or Macomb Counties.
  • This position will be based from a home office.
  • Requires travel up to 75% of the time to an assigned area in Wayne or Macomb County to conduct in-home visits with Medicare/Medicaid members.

The Field Care Manager Nurse 2 employs a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues.

Responsibilities

  • Identifies and resolves barriers that hinder effective care.
  • Ensures patients are 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 your own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.
  • Follows established guidelines/procedures.

Required Qualifications

  • Licensed Master’s prepared Social Worker (LMSW/LCSW) with 2 years of in-home experience in case/care management, hospice, home health, or equivalent environment.
  • Michigan State licensure in field of study.
  • Experience working with the adult population and disease management.
  • Knowledge of community health and social service agencies and additional community resources.
  • Exceptional communication and interpersonal skills with the ability to quickly build rapport.
  • Ability to work with minimal supervision within the role and scope.
  • Ability to use a variety of electronic information applications/software programs, including electronic medical records.
  • Excellent keyboard and web navigation skills.
  • Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel.
  • Ability to work full-time (40 hours minimum) Monday-Friday.
  • Ability to travel to member's residence within 30 to 40 miles.
  • Must have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits (part of Humana's Driver Safety Program).
  • Must have a separate room with a locked door to use as a home office ensuring continuous privacy.
  • Must have accessibility to high-speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed). Recommended speed for optimal performance from Humana At Home systems is 25Mx10M.

Preferred Qualifications

  • 3-5 years of in-home assessment and care coordination experience.
  • Experience with health promotion, coaching, and wellness.
  • Experience with Medicaid Long Term Care.
  • Previous managed care experience.
  • Bilingual — Spanish or Arabic.
  • Motivational Interviewing Certification and/or knowledge.

Additional Information

  • This role is considered patient-facing and is part of Humana/Senior Bridge's Tuberculosis (TB) screening program. If selected, you will be required to be screened for TB.
  • Requires travel 75% of the time.

Our Hiring Process

As part of our hiring process, we will be using interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward, you will re...

Skills

LMSW/LCSW
Case Management
Care Management
Hospice
Home Health
Disease Management
Community Health
Social Services
Medicare
Medicaid
Behavioral Health

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.
Rising medical costs and tightening Medicare reimbursements may strain financial performance.
Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.
The company emphasizes inclusivity, offering free language interpreter services for accessibility.
Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.
The company is the first insurer to cover TMS therapy for adolescent depression.
Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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