
10,000+ employees
Founded 1961
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • Healthcare Insurance
Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.
🔥 8 minutes ago
🚗 Michigan – Remote
💵 $65k - $88.6k / year
⏰ Full Time
🟢 Junior
🟡 Mid-level
💬 Bilingual
🚫👨🎓 No degree required
🦅 H1B Visa Sponsor
👻 Ghost score 0%
🗣️🇸🇦 Arabic Required
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10,000+ employees
Founded 1961
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • Healthcare Insurance
Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.
• Manage an assigned caseload and complete comprehensive assessments in members’ homes, community settings, or virtually • Conduct InterRAI Integrated Health Care assessments and identify findings requiring RN review or intervention • Contribute to Nursing Facility Level of Care Determination activities within scope • Develop, implement, monitor, and modify individualized person-centered care plans • Serve as a primary point of contact for the Interdisciplinary Care Team • Assess social determinants of health and barriers involving housing, food, transportation, safety, behavioral health, caregivers, education, finances, and health care access • Coordinate access to Medicaid, Medicare, HCBS waiver, behavioral health, medical, social, housing, educational, and community resources • Support members in receiving services in the least restrictive and most integrated appropriate setting • Provide ongoing monitoring, care coordination, advocacy, and follow-up • Apply person-centered planning, motivational interviewing, trauma-informed care, and culturally responsive engagement techniques • Identify and escalate urgent health, safety, abuse, neglect, exploitation, behavioral health, and service-access concerns • Collaborate with nursing, behavioral health, primary care, specialists, waiver providers, community agencies, and caregivers • Complete timely, accurate, and compliant documentation in designated electronic systems • Travel 75%–90% within Wayne and/or Macomb Counties, Michigan
• Must reside in Michigan and be able to travel throughout the assigned service area, including Wayne and/or Macomb Counties • Fluent in English and Arabic or Chaldean Neo-Aramaic, with the ability to speak, read, and write each language independently and without assistance • Active Michigan Social Work license in good standing required (LBSW, LLMSW, or LMSW); limited-license candidates 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 least restrictive settings • 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 • Ability to maintain accurate, timely, and compliant documentation according to organizational, state, and federal requirements • Strong verbal and written communication skills • Proficiency using 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 required • Must complete 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 populations, behavioral health, chronic conditions, disability services, or complex care management • Preferred: Previous managed care experience • Preferred: Experience with health promotion, coaching, wellness, motivational interviewing, and trauma-informed care • Preferred: Fluency in English and Spanish
• $5,000 sign-on bonus, subject to applicable terms and conditions • Bonus incentive plan based on company and/or individual performance • Medical, dental, and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Mileage reimbursement for eligible travel • Self-provided home internet arrangement with minimum 25 Mbps download and 10 Mbps upload requirements • Occasional travel to Humana offices for training or meetings
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