Manager, Care Management

🔥 1 minute ago

🏄 California, Florida, +3 more states – Remote

🏄 California – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🦬 Montana – Remote 🗿 South Dakota – Remote

💵 $86.3k - $118.7k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Humana

WebsiteLinkedInAll Job Openings

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 managers supporting members with transitional needs, chronic conditions, and barriers affecting health, independence, and well-being • Provide operational leadership for telephonic, member-centered care management activities • Provide day-to-day leadership, direction, coaching, and development for assigned care management associates • Establish expectations, monitor performance, deliver feedback, and document performance-related conversations • Manage associate performance against quality, productivity, compliance, documentation, attendance, behavior, and member outcome expectations • Conduct one-on-one meetings, team meetings, call reviews, case reviews, and development discussions • Promote an engaged and inclusive team environment • Serve as an escalation resource for complex member, associate, operational, or process-related issues • Support associates through process changes, operational updates, system enhancements, structured schedules, and shifting priorities • Review operational and member outcome trends to identify risks, barriers, coaching needs, and process improvement opportunities • Recommend actions to improve workflows, strengthen outcomes, and support business objectives • Communicate with associates, peers, senior leaders, quality partners, workforce partners, and cross-functional stakeholders • Support audit readiness and adherence to policies, procedures, documentation standards, privacy requirements, and quality expectations • Address performance, attendance, behavior, quality, and compliance concerns • Encourage associate feedback, issue identification, and solution-oriented recommendations • Model Humana’s values and commitment to member and associate success • Support onboarding, training, mentoring, and ongoing education for telephonic care management associates

🎯 Requirements

• Active, unrestricted Registered Nurse license with no disciplinary action • 5 or more years of case management experience • 2 years of direct or indirect leadership experience • Ability to articulate ideas effectively in written and oral forms • Ability to analyze performance, productivity, quality, audit, documentation, and operational data; identify trends and risks; and implement action plans • Ability to support change management, process improvement, workflow updates, and operational initiatives • Comprehensive knowledge of Microsoft Office applications, including Word, Excel, PowerPoint, and Teams • Bachelor’s or Master’s degree in nursing, healthcare administration, business, or a related field (desirable) • 3 or more years of previous management/supervisor level experience (desirable) • Ability to lead, coach, motivate, and hold associates accountable (desirable) • Previous experience working in a managed care field (desirable) • Minimum internet speed of 25 Mbps download and 10 Mbps upload for home work • Separate room with a locked door usable as a home office • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information • Florida Level 2 background screening for candidates applying from a Florida work location

🏖️ Benefits

• Bonus incentive plan based on 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 • Internet expense payment for employees working from home in California, Illinois, Montana, or South Dakota • Telephone equipment provided • Remote work arrangement • Occasional travel to Humana offices for training or meetings