Integrated Care Social Worker

Integrated Care Social Worker Become a part of our caring community. The Integrated Care Social Worker supports the organization’s highest‑risk patient population—representing roughly the top5% of patients with the greatest medical, functional, behavioral, and social complexity. Working closely with integrated care team members, you will serve as the primary source for complex psychosocial needs, identifying and addressing social, environmental, and behavioral barriers that interfere with care engagement and safe transitions across settings. Key Responsibilities Conduct comprehensive psychosocial assessments to identify barriers such as housing, food insecurity, transportation, financial stress, safety concerns, caregiver capacity, mental health, substance use, and health literacy. Facilitate access to high‑barrier services (e.g., long‑term care, housing, community resources), assist with referrals and applications, and coordinate across agencies to close gaps in care. Provide short‑term, supportive interventions, screen for behavioral health or substance use concerns, and connect patients to appropriate services. Partner with Care Coaches following hospitalizations or ED visits to address psychosocial barriers and reduce avoidable readmissions. Collaborate with Care Coaches and PCPs to integrate care plans, participate in high‑risk rounds, and serve as the program’s primary resource for complex psychosocial needs. Required Qualifications Active and unrestricted Licensed Master Social Worker (LMSW) in the state of Texas. Bilingual in English and Spanish (with the ability to read, write, and speak in both languages). 2+ years of clinical social work experience, including care coordination across complex clinical and community settings. Experience working with high‑risk, medically complex, or socially vulnerable populations. Knowledge of health‑related social needs (HRSNs) and social determinants of health (SDOH). Preferred Qualifications Experience addressing HRSNs and SDOH (e.g., housing, food insecurity, transportation, financial strain). Background in behavioral health support and working with psychosocial complexity. Experience with seniors, medically complex patients, or population health/value‑based care models. Workstyle & Location Combination of clinic‑based and field work (mobile presence involving travel to patients’ homes, healthcare facilities, community‑based settings, and assigned clinics). Must reside in Corpus Christi, TX or El Paso, TX metro. Hours: Monday–Friday,8:00AM–5:00PM; overtime may be required. Additional Requirements Patient‑facing role; required to be screened for tuberculosis as part of Humana’s TB screening program. Driver safety program: must have a valid state driver’s license and maintain personal vehicle liability insurance in accordance with the minimum limits required by the residing state. Compensation & Benefits Scheduled weekly hours: 40 hours. Pay range: $65,000–$88,600 per year (starting base pay; may vary based on location and experience). This job is eligible for a bonus incentive plan, based on company and/or individual performance. Humana offers competitive benefits that support whole‑person well‑being, including medical, dental, and vision coverage; 401(k) retirement savings plan; paid time off, paid parental and caregiver leave; short‑term and long‑term disability; life insurance; and other opportunities. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. #J-18808-Ljbffr