Associate Director, Care Management

🔥 1 minute ago

🌽 Illinois, Wisconsin – Remote

🌽 Illinois – Remote 🧀 Wisconsin – Remote

💵 $104k - $143k / year

⏰ Full Time

🟠 Senior

👔 Director

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

⚕️ Healthcare Insurance

Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• lead teams of nurses and behavior health professionals responsible for care management • oversee the assessment and evaluation of members' needs and requirements to achieve and/or maintain an optimal wellness state • guide the development, implementation, and evaluation of care management programs to align organizational objectives and regulatory requirements • monitor data sharing among internal and external resources to ensure service integration, continuity of care, challenges, risk, and opportunities • facilitate effective communication and collaboration with internal and external stakeholders, including providers, payers, and regulatory agencies • lead the preparation and presentation of program reports, utilizing data analytics to monitor performance, identify trends, and recommend improvements • champion initiatives for process improvement and innovation to advance care management practices and outcomes

🎯 Requirements

• Must reside in the state of Illinois, Indiana or Wisconsin. • An active, unrestricted, Registered Nurse (RN) license, Licensed Clinical Social Worker (LCSW) OR Licensed Clinical Professional Counselor (LCPC) in the state of Illinois. • Six (6) or more years of professional experience working in the health care or managed care industry. • Three (3) or more years' experience working for a managed care health plan. • Minimum of two (2) years of experience in a leadership role managing other leaders or supervisors. • Three (3) or more years of experience leading care coordination teams to drive measurable outcomes across diverse member populations. • Proficiency in analyzing and interpreting data trends. • Progressive business consulting and/or operational leadership experience. • Must be able to travel in the state of Illinois to provider offices, Illinois Department of Healthcare and Family Services (HFS) and Centers for Medicare & Medicaid Services (CMS) and Humana's Illinois locations.

🏖️ Benefits

• medical, dental and vision benefits • 401(k) retirement savings plan • time off (including paid time off, company and personal holidays, paid parental and caregiver leave) • short-term and long-term disability • life insurance and many other opportunities