Associate Director, Care Management

🕒 Agosto 4

🌽 Illinois, Wisconsin – Remoto

🌽 Illinois – Remote 🧀 Wisconsin – Remote

💵 $104.000 - $143.000 / ano

⏰ Tempo Integral

🟠 Sênior

👔 Diretor

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Humana

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1961

🏥 Saúde

🛡️ Seguros

⚕️ Seguro de Saúde

Healthcare • Insurance • Healthcare Insurance

A Humana é uma empresa de saúde dedicada a gerar um impacto positivo na saúde de indivíduos, comunidades e do sistema de saúde como um todo. Com foco em colocar a saúde em primeiro lugar, a Humana atende a uma ampla e diversa gama de populações, incluindo idosos e militares, oferecendo planos Medicare Advantage (HMO, PPO e PFFS). A Humana está comprometida em promover uma cultura de pertencimento e respeito mútuo, oferecendo benefícios competitivos e flexíveis para garantir a segurança financeira de seus funcionários e de suas famílias. A empresa se orgulha de criar um ambiente de trabalho inclusivo, no qual todos têm a oportunidade de ter sucesso.

Descrição

• Lead teams of nurses and behavioral health professionals responsible for care management • Oversee assessment and evaluation of members’ needs to achieve or maintain optimal wellness • Guide members and families toward appropriate care and wellbeing resources • Guide development, implementation, and evaluation of care management programs aligned with organizational objectives and regulatory requirements • Lead multiple managers or highly specialized professional associates • Monitor data sharing among internal and external resources to ensure service integration and continuity of care • Facilitate communication and collaboration with providers, payers, regulatory agencies, and other stakeholders • Lead preparation and presentation of program reports • Use data analytics to monitor performance, identify trends, and recommend improvements • Champion process improvement and innovation initiatives in care management • Travel to provider offices, Illinois HFS and CMS, Humana Illinois locations, and occasional Humana offices for training or meetings

🎯 Requisitos

• Must reside in Illinois, Indiana, or Wisconsin • Active, unrestricted RN, LCSW, or LCPC license in Illinois • Six or more years of professional experience in healthcare or managed care • Three or more years of experience working for a managed care health plan • Minimum two years of leadership experience managing leaders or supervisors • Three or more years of experience leading care coordination teams and driving measurable outcomes across diverse member populations • Proficiency in analyzing and interpreting data trends • Progressive business consulting and/or operational leadership experience • Ability to travel within Illinois to provider offices, Illinois HFS, CMS, and Humana Illinois locations • Preferred: advanced degree in nursing, Social Work, or a business-related field • Preferred: experience with MLTSS and HealthChoice populations • Preferred: previous managed care experience • Preferred: five or more years of management/supervisory experience • Ability to work from a dedicated space without ongoing interruptions to protect PHI/HIPAA information • Self-provided internet service with at least 25 Mbps download and 10 Mbps upload speed

🏖️ Benefícios

• Bonus incentive plan based on company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Personal wellness and smart healthcare decision support • Remote work arrangement • Occasional travel for training, meetings, and team engagement