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Humana
Humana
H1B Visa SponsorHealthcareHealthcare InsuranceInsurance
Humana is a healthcare and health insurance company focused on improving health outcomes for individuals, communities, and the broader healthcare system. Its work includes Medicare Advantage HMO, PPO, and PFFS plans serving populations such as seniors and military members. Humana also emphasizes an inclusive workplace built around belonging, mutual respect, and opportunities for employees to contribute to the company’s health-focused mission.
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Bilingual Field Care Manager – Social Work, LTSS and HCBS | Michigan

Supports Michigan Medicaid members through LTSS, HCBS waiver, and community services. Performs assessments, care planning, advocacy, and coordinated follow-up.

USUnited StatesMIMichigan
$65,000 – $88,600 / year
RemoteFull-timeJuniorMiddleNo degree requiredArabic RequiredEnglish RequiredBilingual

Description

  • Manage an assigned caseload and conduct comprehensive assessments in members’ homes, community settings, or virtually
  • Complete InterRAI Integrated Health Care assessments and flag findings for RN review or intervention
  • Support Nursing Facility Level of Care Determination activities within the role’s scope
  • Create, implement, monitor, and update individualized, person-centered care plans
  • Act as the primary contact for the Interdisciplinary Care Team
  • Evaluate social determinants of health and barriers related to housing, food, transportation, safety, behavioral health, caregivers, education, finances, and health care access
  • Coordinate Medicaid, Medicare, HCBS waiver, behavioral health, medical, social, housing, educational, and community resources
  • Help members receive services in the least restrictive and most integrated suitable setting
  • Provide continuing monitoring, care coordination, advocacy, and follow-up
  • Use person-centered planning, motivational interviewing, trauma-informed care, and culturally responsive engagement
  • Recognize and escalate urgent concerns involving health, safety, abuse, neglect, exploitation, behavioral health, or service access
  • Partner with nursing, behavioral health, primary care, specialists, waiver providers, community agencies, and caregivers
  • Maintain timely, accurate, and compliant records in designated electronic systems
  • Travel 75%–90% throughout Wayne and/or Macomb Counties, Michigan

Requirements

  • Michigan residency and the ability to travel throughout the assigned service area, including Wayne and/or Macomb Counties
  • Fluency in English and Arabic or Chaldean Neo-Aramaic, including independent speaking, reading, and writing in both languages
  • An active Michigan Social Work license in good standing: LBSW, LLMSW, or LMSW; limited-license applicants must be progressing toward full licensure
  • At least two years of post-degree experience in social work, behavioral health, health care, care management, or community-based services
  • At least one year of experience supporting Home and Community-Based Services (HCBS) and/or waiver programs
  • Experience performing Long-Term Services and Supports (LTSS) assessments
  • Ability to evaluate functional, behavioral, environmental, and psychosocial needs for eligibility decisions, service planning, risk identification, and care coordination
  • Working knowledge of LTSS, HCBS, Medicaid requirements, person-centered planning, member rights, and least restrictive settings
  • Experience working with interdisciplinary teams, health care providers, members, caregivers, and community organizations
  • Knowledge of community health, behavioral health, social service agencies, and local resources
  • Ability to produce accurate, timely, and compliant documentation under organizational, state, and federal requirements
  • Strong written and verbal communication skills
  • Proficiency with electronic medical records, care management platforms, and health care technology applications
  • Strong computer skills, including Microsoft Word, Outlook, Excel, and web-based applications
  • Valid state driver’s license and personal vehicle liability insurance
  • Completion of TB screening
  • Preferred: Experience with InterRAI Integrated Health Care assessments
  • Preferred: Knowledge of Nursing Facility Level of Care Determinations
  • Preferred: Experience with Medicaid, Medicare, dual-eligible members, behavioral health, chronic conditions, disability services, or complex care management
  • Preferred: Previous managed care experience
  • Preferred: Experience in health promotion, coaching, wellness, motivational interviewing, and trauma-informed care
  • Preferred: Fluency in English and Spanish

Benefits

  • $5,000 sign-on bonus, subject to applicable terms and conditions
  • Bonus incentive plan tied to company and/or individual performance
  • Medical, dental, and vision coverage
  • 401(k) retirement savings plan
  • Paid time off
  • Company and personal holidays
  • Paid parental and caregiver leave
  • Short- and long-term disability coverage
  • Life insurance
  • Mileage reimbursement for eligible travel
  • Home internet arrangement provided by the employee, with minimum speeds of 25 Mbps download and 10 Mbps upload
  • Occasional travel to Humana offices for training or meetings

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