Manager, Care Management

Humana

Humana healthcare manager leading Illinois care-management teams serving Medicare, Medicaid, and child/adolescent populations. Overseeing care coordination, compliance, reporting, hiring, and staff performance.

Posted 8/18/2026full-timeRemote • Illinois • 🇺🇸 United StatesMid-LevelSenior💰 $86,300 - $118,700 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in care management and leadership within healthcare settings, with a focus on child and adolescent populations. Proficient in data analysis, compliance with healthcare quality measures, and effective team management.

Highest-signal resume keywords

Active RN License in IllinoisCare Management ExperienceLeadership ExperienceData Analysis ProficiencyHealthcare Quality Measures Experience

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

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

Hard Skills

Care CoordinationCase ManagementDischarge PlanningData Trend AnalysisPerformance Metrics Reporting

Soft Skills

Team LeadershipMentoringCommunicationCollaboration

Tools & Technologies

Electronic Medical RecordsReporting Tools

Certifications & Qualifications

Active RN License

Industry Keywords

Healthcare IndustryChild/Adolescent PopulationsManaged CareCommunity HealthHIPAA Compliance

About the role

Key responsibilities & impact

Lead teams of nurses, care coordinators, and behavioral health professionals responsible for care management, transitions of care, and child/adolescent populations
Supervise, direct, and evaluate health care professionals to ensure effective care coordination
Lead cross-functional collaboration through regular briefings and area meetings
Maintain communication with departmental managers to ensure alignment and operational efficiency
Identify members for case management and disease management activities
Monitor case management activities, post-discharge calls, discharge planning, and pre-assessment of elective admissions
Develop system-view recommendations, report trends, and implement actions to control trends
Develop audit plans and tools to ensure compliance with state contracts and performance metrics
Develop reporting tools with leadership to identify clinical performance
Interview, hire, mentor, evaluate, coach, and manage performance for the care coordination team
Onboard new associates, including human resources tasks and ordering software, hardware, supplies, and support technologies
Monitor staff performance against service and utilization and care coordination benchmarks

Requirements

What you’ll need

Active, unrestricted RN license in the state of Illinois
Five (5) or more years of professional experience working in the health care industry and/or in care management
Three (3) or more years of leadership experience
Two (2) years of experience with care management, direct care, or leadership of children, NICU, or PICU populations
Ability to use electronic information applications/software programs, including electronic medical records
Proficiency in analyzing and interpreting data trends
Ability to travel throughout the state of Illinois
Patient-facing role requiring TB screening
Valid state driver's license
Personal vehicle liability insurance meeting residing-state minimum limits or Humana's stated limits, whichever is higher
Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information
Preferred: advanced degree in nursing, social services, psychology, or business health field
Preferred: experience with children, adolescents, and foster care populations
Preferred: previous managed care experience
Preferred: five (5) or more years of management/supervisor experience including hiring, training, mentoring, and coaching
Preferred: healthcare quality measures experience, including STARS and HEDIS
Preferred: knowledge of community health and social service agencies and community resources
Preferred: bilingual or multilingual ability; must speak, read, and write both languages without limitations or assistance

Benefits

Comp & perks

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
Occasional travel to Humana's offices for training or meetings
Self-provided home internet service meeting minimum speeds of 25 Mbps download and 10 Mbps upload
Dedicated workspace without ongoing interruptions