Manager, Care Management
Humana
full-time
Posted on:
Location Type: Remote
Location: Illinois • United States
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Salary
💰 $86,300 - $118,700 per year
About the role
- Lead teams of nurses, care coordinators and behavioral health professionals responsible for care management
- Supervise, direct and evaluate a diverse group of health care professionals
- Identify members for specific case management and/or disease management activities
- Monitor case management activities, post-discharge calls, discharge planning and pre-assessment of elective admissions
- Develop system-view recommendations, reports trends and implement appropriate actions to control trends
- Develop audit plans and tools for teams to ensure compliance with state contracts on performance metrics
- Onboard new associates including all pre-employment human resource tasks, ordering software, hardware, supplies and support technologies
- Monitor performance of staff including service performance and adherence to established utilization and care coordination benchmarks
- Conduct care team oversight visits, meeting with members and/or their families, community partners and other care teams
Requirements
- An active, unrestricted, Registered Nurse (RN) license, Licensed Clinical Social Worker (LCSW) OR Licensed Clinical Professional Counselor (LCPC) in the state of Illinois
- Five (5) or more years of professional experience working in the health care industry and/or in care management
- Two (2) or more years of leadership experience
- Comprehensive knowledge of all Microsoft Office applications, specifically Word, Excel, and PowerPoint
- Ability to use a variety of electronic information applications/software programs including electronic medical records
- Proficiency in analyzing and interpreting data trends
- Ability to travel throughout the state of Illinois
- Must have a valid state driver's license and maintain personal vehicle liability insurance
- Bilingual or Multilingual: English/Spanish, Arabic, Vietnamese, Amharic, Urdu or other - Must be able to speak, read and write in both languages without limitations and assistance.
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 and many other opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Registered Nurse (RN)Licensed Clinical Social Worker (LCSW)Licensed Clinical Professional Counselor (LCPC)case managementdisease managementdata analysiselectronic medical recordsperformance metricsaudit planscare coordination
Soft Skills
leadershipsupervisioncommunicationteam managementorganizational skillsproblem-solvinginterpersonal skillsevaluationtrainingcollaboration
Certifications
Registered Nurse (RN) licenseLicensed Clinical Social Worker (LCSW)Licensed Clinical Professional Counselor (LCPC)