Manager, Care Management

🕒 Junho 19

🌽 Illinois – Remoto

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💵 $86.300 - $118.700 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

🦅 Patrocina Visto H1B

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👻 Score fantasma 30%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of Humana

Humana

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

• The Manager, Care Management oversees the assessment and evaluation of members' needs and requirements to achieve and maintain optimal wellness • Guide members and families toward and facilitate interaction with resources appropriate for the care and wellbeing of members • Monitor program performance and use data to evaluate impact, identify gaps, and drive continuous improvement • Collaborate with internal teams and external partners to ensure seamless integration of non-clinical support associates into care planning and service delivery • Develop and maintain policies and procedures that support consistent, high-quality service delivery across the system of care and contribute to the organization's mission of advancing health equity and reducing disparities • Assist in resolving individual member issues related to housing, food insecurity, transportation, and other social needs • Represent the care management program in collaborative initiatives, advisory groups, and community forums • Participate as a member of the management team in promoting Humana's mission for strategic growth and development

🎯 Requisitos

• Must reside in Illinois • Minimum of an Associate's Degree • Active Registered Nurse (RN) license or Social Work (SW) license • 5+ years of professional experience • 2+ years of management or supervisory experience • Proficiency in analyzing and interpreting data trends • Progressive operational leadership experience • Strong, demonstrated communication, analytical, problem solving and team playing skills • Knowledge of Medicaid/Medicare, and long-term care guidelines, benefits and policies and procedures • Demonstrated computer skills in Microsoft Windows, Outlook, Excel, Word as well as other MIS software applications • Strong understanding of care management models and the role of extenders in addressing social needs • Demonstrated ability to lead cross-functional initiatives and collaborate with external partners • Ability to operate independently and in a team environment.

🏖️ Benefícios

• Medical, dental and vision benefits • 401(k) retirement savings plan • Paid time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave) • Short-term and long-term disability • Life insurance • Mileage reimbursement for work-related travel

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