Manager, Care Management

🔥 0 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $86.3k - $118.7k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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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

• 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

🎯 Requirements

• 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.

🏖️ Benefits

• 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