Manager, Care Management

This is a fully remote position, open to applicants in Illinois.

📋 Description

• The Manager of Care Management is responsible for overseeing the assessment and evaluation of members' needs to ensure they achieve and maintain optimal wellness.

• Facilitate interactions and guide members and their families towards appropriate resources for care and wellbeing.

• Monitor program performance and leverage data to assess impact, identify gaps, and foster continuous improvement.

• Collaborate with internal teams and external partners to guarantee seamless integration of non-clinical support staff into care planning and service delivery.

• Develop and uphold policies and procedures that ensure consistent, high-quality service delivery throughout the care system, aligning with the organization's mission to promote health equity and reduce disparities.

• Assist in addressing individual member challenges related to housing, food insecurity, transportation, and other social needs.

• Represent the care management program in collaborative initiatives, advisory groups, and community forums.

• Actively participate as a member of the management team in advancing Humana's mission for strategic growth and development.

⛳️ Requirements

• Must be a resident of Illinois.

• A minimum of an Associate's Degree is required.

• Current Registered Nurse (RN) license or Social Work (SW) license is necessary.

• At least 5 years of professional experience is required.

• A minimum of 2 years of management or supervisory experience is needed.

• Proficiency in analyzing and interpreting data trends is essential.

• Experience in progressive operational leadership is required.

• Strong communication, analytical, problem-solving, and teamwork skills are a must.

• Knowledge of Medicaid/Medicare, along with long-term care guidelines, benefits, and policies is necessary.

• Proficiency in Microsoft Windows, Outlook, Excel, Word, and other MIS software applications is expected.

• A solid understanding of care management models and the role of extenders in meeting social needs is essential.

• Proven ability to lead cross-functional initiatives and collaborate effectively with external partners.

• Capability to work independently as well as part of a team is required.

🏝️ Benefits

• Comprehensive medical, dental, and vision benefits.

• 401(k) retirement savings plan.

• Paid time off, including personal holidays, volunteer time off, and paid parental and caregiver leave.

• Short-term and long-term disability coverage.

• Life insurance provided.

• Mileage reimbursement for work-related travel.