Manager, Care Management – RN or SW

🕒 il y a 6 jours

🚗 Michigan – Distant

🚗 Michigan – Remote

💵 $86 300 - $118 700 / 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 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 • Collaborate across departments and conduct briefings and area meetings • Maintain frequent contact with other department managers • Oversee delivery of care to all members served by the location • Review member case information and determine assessment needs and required disciplines • Monitor staff performance, service performance, and adherence to care coordination benchmarks • Identify members for case management and disease management activities • Develop audit plans and tools to ensure compliance with state contract performance metrics and member needs • Develop reporting tools with leadership to identify clinical performance • Interview, hire, coach, evaluate, and mentor a diverse care coordination workforce • Onboard new staff, including pre-employment HR tasks and ordering software, hardware, supplies, and support technologies • Monitor case management activities, post-discharge calls, discharge planning, and pre-assessment of elective admissions • Travel within Wayne and Macomb Counties for field-based interactions, up to 50%

🎯 Exigences

• Must reside in Michigan and be able to travel to Wayne County or Macomb County • Active Registered Nurse (RN) license or Social Work (SW) license in the state of Michigan • 3+ years of professional experience as a licensed RN or Social Worker, including experience in case and/or disease management • 1+ year of leadership and people management experience in a home care, hospice, or similar field-based healthcare setting • Demonstrated experience coaching, supporting, and developing clinicians in a fast-paced healthcare environment • Proficiency in analyzing and interpreting data trends • Comprehensive knowledge of Microsoft Office applications, including Word, Excel, and PowerPoint • Associate's Degree preferred • Certified Case Manager (CCM) preferred • 3+ years of previous management/supervisor-level experience preferred • Experience with Medicaid Long Term Care preferred • Fully bilingual in English and Spanish or Arabic preferred • Ability to take the Interagency Language Rating (ILR) test if speaking with members in a language other than English • Must complete TB screening if selected • Valid state driver's license required • Must maintain personal vehicle liability insurance meeting stated minimum requirements • Must meet home internet and dedicated workspace requirements

🏖️ 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 • Personal wellness and smart healthcare decision support • Eligible mileage reimbursement for travel between home and work locations, client or assignment locations, and final work location to home • Home office work arrangement • Occasional travel to Humana offices for training or meetings • Self-provided internet service meeting minimum speeds of 25 Mbps download and 10 Mbps upload • Dedicated work space to protect member PHI / HIPAA information