Humana

Director, Care Management

Humana

full-time

Posted on:

Location Type: Hybrid

Location: KentuckyNew YorkUnited States

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Salary

💰 $126,300 - $173,700 per year

Job Level

About the role

  • lead teams of nurses and behavior health professionals responsible for care management
  • oversee the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and wellbeing of members
  • implement new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes
  • implement strategic plans, drive goals and objectives, and improve performance
  • provide input into functions strategy

Requirements

  • U.S. Citizenship
  • Successfully receive interim approval for government security clearance
  • Bachelor's degree
  • Ability to work 8 - 5 p.m. in the Eastern Time zone
  • Must have one of the following licenses - Active unrestricted RN license, LCSW, LMSW, Clinical Psychologist, Licensed Professional Counselor (LPC), Licensed Clinical Marriage and Family Therapist (LCMFT), and/or Licensed Mental Health Counselor (LMHC)
  • 5 years of clinical RN or social work experience
  • An active designation as a Certified Care Manager (CCM)
  • 7 years of leadership experience in Government Contracts, Business Development, Management, Medical Management, and/or other relevant/related experience
  • 3 years of experience working with a government contract (TRICARE or VA)
  • Ability to integrate and coordinate content from various sources to establish deliverables for multiple stakeholders and hold others accountable for delivering
  • Ability to synthesize information from a variety of resources to present or address an issue or to answer a question
  • Ability to apply the principles of independent logical thinking to define problems, collect data, establish facts, draw valid conclusions, and make strategic recommendations
Benefits
  • medical, dental and vision benefits
  • 401(k) retirement savings plan
  • 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
  • many other opportunities
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
clinical RN experiencesocial work experiencecare managementprogram implementationstrategic planningperformance improvementdata collectionproblem definitionlogical thinkingstakeholder deliverables
Soft Skills
leadershipcommunicationcoordinationaccountabilitysynthesis of informationstrategic recommendationsgoal settingevaluationguidancefacilitation
Certifications
Certified Care Manager (CCM)Active unrestricted RN licenseLCSWLMSWLicensed Professional Counselor (LPC)Licensed Clinical Marriage and Family Therapist (LCMFT)Licensed Mental Health Counselor (LMHC)