Manager, Care Management

🕒 il y a 17 jours

🌽 Illinois – Distant

🌽 Illinois – Remote

💵 $94 900 - $130 600 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🦅 Parrain de Visa H1B

Cette entreprise a parrainé des visas H1B par le passé.

👻 Score fantôme 0%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Humana

Site WebLinkedInTous les Emplois

10 000+ employés

Fondée en 1961

🏥 Santé

🛡️ Assurance

⚕️ Assurance santé

Healthcare • Insurance • Healthcare Insurance

Humana est une entreprise de soins de santé dédiée à avoir un impact positif sur la santé des individus, des communautés et du système de santé dans son ensemble. En mettant la santé au premier plan, Humana sert une large gamme de populations diverses, y compris les seniors et les militaires, en proposant des plans Medicare Advantage HMO, PPO et PFFS. Humana s'engage à favoriser une culture d'appartenance et de respect mutuel, offrant des avantages compétitifs et flexibles pour assurer la sécurité financière de ses employés et de leurs familles. L'entreprise est fière de créer un environnement de travail inclusif où chacun a l'opportunité de réussir.

Description

• Lead teams of nurses, care coordinators and behavioral health professionals responsible for care management • Supervise, direct and evaluate health care professionals to ensure effective care coordination • Lead cross-functional collaboration through briefings and area meetings • Maintain communication with departmental managers to ensure alignment and operational efficiency • Identify members for case management and/or disease management activities • Monitor case management activities, post-discharge calls, discharge planning and pre-assessment of elective admissions • Develop system-view recommendations, report trends and implement actions to control trends • Develop audit plans and tools to ensure compliance with state contracts and performance metrics • Develop reporting tools with leadership to identify clinical performance • Interview, hire, mentor, evaluate, coach and manage performance for a diverse care coordination team • Onboard new associates and coordinate human resources tasks, software, hardware, supplies and support technologies • Monitor staff performance against service, utilization and care coordination benchmarks • Conduct field-based care team oversight visits and meetings with members, families, community partners and care teams • Travel approximately 25% and attend occasional onsite meetings at Humana Illinois locations • Manage up to 15 direct reports

🎯 Exigences

• Applicants must reside in Illinois in Cook County, within the listed ZIP codes or within a 10-mile radius of those ZIP codes • Active, unrestricted Registered Nurse (RN), Licensed Clinical Social Worker (LCSW), or Licensed Clinical Professional Counselor (LCPC) license in Illinois • Five (5) or more years of professional experience working in the health care industry and/or in care management • Two (2) or more years of leadership experience • Ability to use electronic information applications/software programs, including electronic medical records • Proficiency in analyzing and interpreting data trends • Ability to travel throughout Illinois • Advanced degree in nursing or business health field (preferred) • Certified Case Manager (CCM) (preferred) • Previous managed care experience (preferred) • Five (5) or more years of management/supervisor-level experience, including hiring, training, mentoring and coaching associates (preferred) • Experience with healthcare quality measures such as STARS and HEDIS and/or clinical program monitoring/evaluation (preferred) • Knowledge of community health and social service agencies and community resources (preferred) • Bilingual or multilingual ability, including English/Spanish, Arabic, Vietnamese, Amharic, Urdu or another language (preferred); must speak, read and write both languages without limitations and assistance • Valid state driver's license • Personal vehicle liability insurance meeting applicable minimum limits • Minimum home internet speeds of 25 Mbps download and 10 Mbps upload • Dedicated work space without ongoing interruptions to protect member PHI/HIPAA information • Willingness to complete TB screening • Willingness to complete the Interagency Language Rating (ILR) test if applicable

🏖️ Avantages

• Bonus incentive plan based on company and/or individual performance • Medical, dental and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Remote work arrangement • Flexible work schedule based on business needs