Associate Director, Care Management

Humana • Work at Home - Illinois, IL

3d • $104,000 - $143,000 • Remote

About The Position

Humana Gold Plus Integrated is seeking Associate Directors of Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of how organizational capabilities interrelate across department(s). The Associate Director, Care Management, makes decisions related to resolving complex technical and operational problems within department(s). Oversee the assessment and evaluation of members' needs and requirements to achieve and/or maintain an optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. Guides the development, implementation, and evaluation of care management programs to align organizational objectives and regulatory requirements. Leads multiple managers or highly specialized professional associates. Monitors data sharing among internal and external resources to ensure service integration, continuity of care, challenges, risk, and opportunities. Facilitate effective communication and collaboration with internal and external stakeholders, including providers, payers, and regulatory agencies. Lead the preparation and presentation of program reports, utilizing data analytics to monitor performance, identify trends, and recommend improvements. Champion initiatives for process improvement and innovation to advance care management practices and outcomes.

Requirements

• Bachelor's Degree
• Must be willing to travel into IL as needed for meetings, audits or other departmental needs.
• 6 or more years of professional experience
• Active Registered Nurse (RN) license or Social Work (SW) license
• 2 or more years of previous management/supervisor level experience
• Proficiency in analyzing and interpreting data trends
• Progressive business consulting and/or operational leadership experience
• Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
• Must have a separate room with a locked door that can be used as a home office to ensure you have absolute and continuous privacy while you work
• Must provide a high speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Nice To Haves

• Advanced degree in nursing or business related field
• Previous experience working in a managed care field
• 5 or more years of previous management/supervisor level experience

Responsibilities

• Oversee the assessment and evaluation of members' needs and requirements to achieve and/or maintain an optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members.
• Guides the development, implementation, and evaluation of care management programs to align organizational objectives and regulatory requirements.
• Leads multiple managers or highly specialized professional associates.
• Monitors data sharing among internal and external resources to ensure service integration, continuity of care, challenges, risk, and opportunities.
• Facilitate effective communication and collaboration with internal and external stakeholders, including providers, payers, and regulatory agencies.
• Lead the preparation and presentation of program reports, utilizing data analytics to monitor performance, identify trends, and recommend improvements.
• Champion initiatives for process improvement and innovation to advance care management practices and outcomes.

Benefits

• medical
• dental
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Manager