Job Description

Job Description

Job Title: Field Care Manager – Behavioral Health (Social Worker)

Locations: Wayne or Macomb County, MI

About the Role:

Become a part of Our Client’s compassionate community and help put health first. As a Field Care Manager – Behavioral Health, you’ll play a vital role in supporting members’ overall wellness by assessing needs, developing care plans, and connecting individuals with the right health and community resources. This is a remote position with 15–20% local travel to visit members in Wayne and Macomb Counties, Michigan.

What they will be doing/ working on:

This person will be helping patients manage their health and social needs. They’ll visit members at home or in the community, assess their situation, and create care plans to connect them with the right services (like medical care, housing, or social support). They’ll also coordinate with doctors, caregivers, and other team members to make sure each patient gets the right help and support to stay healthy and independent

Must Have Skills :

• LICENSED SOCIAL WORKER (Michigan license)-MUST HAVE, NON-NEGOTIABLE
• Minimum of 2 years of post-degree clinical experience in behavioral health setting
• Michigan State licensure in field of study
• Ability to travel to region-based facilities and homes for face-to-face assessment
• Experience working with the adult population, disease management.
• Knowledge of community health and social service agencies and additional community resources
• Valid driver's license, car insurance, and access to an automobile.

Key Responsibilities:

• Manage a caseload and conduct behavioral health assessments in members’ homes, community settings, or by phone.
• Develop and coordinate individualized care plans that address physical, social, and behavioral needs.
• Collaborate with interdisciplinary care teams (ICT), physicians, and caregivers to ensure each member receives the right level of support.
• Help members overcome barriers to care and connect them with social, housing, and community resources.
• Serve as the main point of contact for the member and care team, advocating for optimal health outcomes.
• 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.

What You Bring:

• Licensed Social Worker in Michigan (Bachelor’s or active limited license with intent to obtain full).
• At least 2 years of clinical behavioral health experience.
• Experience with adult populations, care coordination, and community health resources.
• Strong communication, organizational, and computer skills (MS Office proficiency required).
• Ability to travel locally (15–20%) within Wayne or Macomb County and maintain a private home office with secure internet access.

Preferred Qualifications:

• Master’s-level Social Work license (LMSW/LCSW).
• Experience in managed care, Medicaid Long-Term Care, or in-home care coordination.
• Bilingual skills (Spanish, Arabic, or Chaldean Neo-Aramaic).
• Certification or familiarity with Motivational Interviewing.

Required Licensures: (Can work with any of the following as specified):-

1. Licensed registered nurse;
2. Licensed nurse practitioner;
3. Licensed physician’s assistant;
4. Licensed Bachelor’s prepared social worker;
5. Limited license Master’s prepared social worker;
6. Licensed Master’s prepared social worker;
7. Limited license Bachelor’s prepared Social worker;
8. or Clinical Nurse Specialist.

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