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Manager, Care Management

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $86.3k - $118.7k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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Logo of Humana

Humana

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

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 a team of care management professionals providing telephonic outreach, support, and care coordination services to Special Needs members • Manage the daily workflow and provide leadership for department staff • Oversee assessment and evaluation of members' needs and requirements to achieve an optimal wellness state • Provide managerial oversight of Humana associates in care management roles, including Care Managers and Care Coaches • Provide leadership, encouragement, and teaching of Humana Care Management techniques • Monitor and audit staff performance • Develop plans of action for process improvement • Help promote the multi-disciplinary healthcare team • Ensure compliance and accuracy regarding clinical program design, implementation, monitoring, and reporting • Work with other members of the clinical leadership team and comply with policies, procedures, performance, and reporting standards • Communicate with all levels of the organization and motivate team members to meet established goals • Lead change, promote a positive work environment, and respond to unexpected changes or demands

🎯 Requirements

• Associate's degree or higher • Active, unrestricted Registered Nurse (RN) license or Social Work (SW) license • 5 or more years of professional experience • 2 or more years of supervisory or operational leadership experience, including interim team lead, mentoring new associates, SME, project leader, etc. • Willingness to flex schedule availability, with evenings and occasional weekends • Minimum home internet speed of 25 Mbps download and 10 Mbps upload • Dedicated work space without ongoing interruptions to protect member PHI / HIPAA information • Florida applicants from a Florida work location are subject to Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse

🏖️ Benefits

• Bonus incentive plan based upon company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Self-provided internet service for home or hybrid employees • Remote work arrangement • Occasional travel to Humana offices for training or meetings may be required

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