Manager, Care Management

Humana
$86,300 - $118,700Remote

About The Position

We are looking for a leader who is passionate about health and well-being for the members we serve. As Manager, Care Management, you will lead a team of clinical professionals who provide telephonic outreach, assistance and care management to our Special Needs Plan members. We are looking for someone who can communicate with all levels of the organization and motivate team members to meet all established goals. This is a Remote opportunity, and the schedule is Eastern Standard Time business hours. This is an opportunity to use your care management knowledge and leadership to support the performance and professional growth of the department. You will work within specific guidelines and procedures; apply advanced technical knowledge to solve moderately complex problems; and determine resources, approaches, schedules, and goals to achieve department objectives. There will also be opportunities to work on projects and initiatives from time to time. The role requires cross-departmental collaboration along with briefings and area meetings; you will maintain frequent contact with other managers across the department.

Requirements

  • Associate's degree or higher
  • Active Registered Nurse (RN) license
  • 5 or more years of professional RN experience
  • 2 or more years of supervisory, operational leadership experience
  • Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
  • Self-provided internet service must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
  • Subject to Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse.

Nice To Haves

  • Occasional travel to Humana's offices for training or meetings may be required.

Responsibilities

  • Lead a team of approximately 16 - 20 RN professionals who provide telephonic outreach and care management for members.
  • Maintain staffing and processes aligned to support department goals and customer satisfaction.
  • Communicate regularly with team members to motivate, coach, lead, and remove obstacles for them.
  • Lead and empower in a way that supports team member development.
  • Analyze data to interpret trends and identify ways to improve processes or approaches.
  • Monitor department activity to identify opportunities for continuous improvement in both quality and productivity.

Benefits

  • medical
  • dental
  • vision benefits
  • 401(k) retirement savings plan
  • time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
  • short-term and long-term disability
  • life insurance
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