Care Manager

The Field Care Manager, Behavioral Health 2 assesses and evaluates members’ 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.

This position will be based from a home office and will travel 15-20% of the time, to an assigned area in Wayne or Macomb County, to conduct in home visits with Medicare / Medicaid members.

Must reside in Michigan with the ability to drive to Wayne or Macomb Counties .

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.

Position Responsibilities :

• The Social Worker Field Care Manager will be responsible for managing a case load and completing assessments with members in their home or community-based setting, as well as telephonically.
• Provides clinical support and guidance, collaborates with ICT participants to support members with medical complexity.
• Help develop and coordinate care plans ensuring that patients receive appropriate services to manage their health needs effectively. Addressing barriers to health care and advocating for optimal member outcomes.
• Will review, assess, and complete medical attestations and clinical oversights.
• Ensures members are receiving services in the least restrictive setting to achieve and / or maintain optimal well-being by assessing their care needs.
• Develops and modify Individual Care Plan and involve applicable members of the care team in care planning (Informal caregiver, coach, PCP, etc.).
• Focuses on supporting members and / or caregivers utilizing an interdisciplinary approach in accessing social, housing, educational and other services, regardless of funding sources to meet their needs.
• Primary point of contact for the Interdisciplinary Care Team (ICT) and shall be responsible for coordinating with the member, ICT participants, and outside resources to ensure the member’s needs are met.

Required Qualifications (anyone of the below) :

Other Required qualifications :

Preferred Qualifications :