Field Care Manager, Social Worker

The Field Care Manager, Behavioral Health 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Field Care Manager, Behavioral Health 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

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

• Manage a caseload and complete comprehensive assessments with members in their home or community‑based settings , as well as telephonically.

• Provide clinical support and guidance, collaborating with Interdisciplinary Care Team (ICT) participants to support members with medical complexity.

• Develop and coordinate individualized care plans , ensuring members receive appropriate services to effectively manage their health needs.

• Identify and address barriers to care while advocating for optimal member outcomes .

• Review, assess, and complete medical attestations and provide ongoing clinical oversight .

• Ensure members receive services in the least restrictive setting to achieve and/or maintain optimal well‑being through ongoing assessment of care needs.

• Develop and modify Individual Care Plans , involving applicable members of the care team (informal caregivers, health coaches, PCPs, etc.).

• Support members and/or caregivers using an interdisciplinary approach to access social, housing, educational, and other community resources, regardless of funding source.

• Serve as the primary point of contact for the ICT, coordinating with members, care team participants, and external resources to ensure comprehensive care delivery.

• Must reside in the State of Michigan with the ability to travel to Wayne and Macomb counties (15–20%).

• Bachelor’s degree in Social Work (BSW) from an accredited institution.

• Active Michigan social work licensure in good standing, including one of the following:
  LLBSW, LBSW, LLMSW, LMSW, or LCSW . Limited license holders must demonstrate intent and active progress toward full licensure.

• 2+ years of post-degree clinical or care management experience in a behavioral health, medical, or community-based setting.

• Experience working with adult populations, including chronic conditions and disease management.

• Knowledge of community health resources, social service agencies, and support programs.

• Ability to travel to the region-based facilities and in-home to conduct face‑to‑face assessments with Medicare/Medicaid members, as well as telephonic engagement.

• Valid driver’s license with reliable transportation.

• Strong communication and interpersonal skills with the ability to quickly build rapport.

• Ability to work with minimal supervision and independently within defined role scope

• Proficiency using electronic medical records and other healthcare‑related software systems.

• Excellent keyboard and web navigation skills

• Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel

• Licensed Master's prepared Social Worker (LMSW/LCSW)

• Experience with in‑home assessment and care coordination

• Experience with health promotion, coaching and wellness

• Experience with Medicaid Long Term Care

• Previous managed care experience

• Bilingual
  - Spanish, Arabic or Chaldean Neo‑Aramaic

• Motivational Interviewing Certification and/or knowledge

• Schedule/Time Zone: Monday through Friday, 8:30 AM – 5:00 PM or 9:00 AM – 5:30 PM E…