Manager, Care Management

Humana

Manager, Care Management leading teams in assessing and evaluating members' wellness. Ensuring resource facilitation and collaborating for effective care management in the Illinois market.

Posted 6/19/2026full-timeRemote • Illinois • 🇺🇸 United StatesMid-LevelSenior💰 $86,300 - $118,700 per yearWebsite

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Registered Nurse (RN) licenseSocial Work (SW) licensedata analysisoperational leadershipcare management modelsMedicaid guidelinesMedicare guidelineslong-term care policiesMicrosoft ExcelMicrosoft Word

Soft Skills

communication skillsanalytical skillsproblem solvingteam collaborationindependent operationleadershipinterpersonal skillsstrategic growthcontinuous improvementadvocacy

Certifications

Associate's DegreeRegistered Nurse (RN) licenseSocial Work (SW) license