Field Care Manager - LSW

Michigan, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Health Insurance, HealthcareIndustries

Requirements

Candidates must be a Licensed Bachelor's prepared Social Worker with at least 1 year of experience in case/care management, hospice, home health, or a similar environment. A Michigan State licensure in the field of study, experience with the adult population and disease management, and knowledge of community health and social service agencies are required. Exceptional communication and interpersonal skills, the ability to work with minimal supervision, and intermediate to advanced computer skills including Microsoft Office Suite are also necessary. Applicants must have a valid state driver's license, car insurance, access to an automobile, and a dedicated, private home office space with high-speed DSL or Cable internet.

Responsibilities

The Field Care Manager will assess and evaluate member needs to promote optimal wellness, guiding members and families towards appropriate resources. Responsibilities include managing a caseload, completing assessments in home or community settings, providing clinical support, and collaborating with care teams. The role involves developing and coordinating care plans, addressing healthcare barriers, advocating for members, and reviewing medical attestations. Managers will ensure members receive services in the least restrictive setting, develop individual care plans involving the care team, and act as the primary point of contact for the Interdisciplinary Care Team to coordinate services and meet member needs.

Skills

Behavioral Health

Case Management

Care Planning

Clinical Support

Assessment

Interdisciplinary Approach

Social Services

Advocacy

Medical Attestations

LSW (Licensed Social Worker)

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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