Manager, Care Management

About the role

The Manager, Care Management leads teams of nurses, social workers, behavioral health professionals, and care management support professionals responsible for the care management of Medicaid members in Humana's Illinois market.

Responsibilities

• Oversight of member needs assessment and evaluation to achieve and maintain optimal wellness.
• Guiding members and families toward and facilitating interaction with resources appropriate for the care and wellbeing of members.
• Leveraging extenders (e.g., CHWs, peer support specialists, housing advocates) to address social determinants of health for Medicare-eligible adults.
• Promoting culturally responsive, trauma-informed, and person-centered approaches across all care management activities.
• Fostering partnerships and collaboration between Care Management and community-based organizations, aging services, housing providers, and public agencies.
• Monitoring program performance and using data to evaluate impact, identify gaps, and drive continuous improvement.
• Alligning departmental processes and performance with market and enterprise objectives to control cost and improve operational efficiencies for existing product lines.
• Collaborating with internal teams and external partners to ensure seamless integration of non-clinical support associates into care planning and service delivery.
• Assisting in resolving individual member issues related to housing, food insecurity, transportation, and other social needs.
• Representing the care management program in collaborative initiatives, advisory groups, and community forums.
• Participating as a member of the management team in promoting Humana's mission for strategic growth and development.
• Complying with applicable federal, state, and contractual requirements and standards.
• Creating a productive and positive department through written and verbal communication, briefings, and team meetings.
• Developing and maintaining policies and procedures that support consistent, high-quality service delivery across the system of care.
• Supporting training and capacity-building efforts for care management extenders, including CHWs and peer specialists.
• Assisting in resolving individual member issues related to housing, food insecurity, transportation, and other social needs.
• Representing the care management program in collaborative initiatives, advisory groups, and community forums.
• Participating as a member of the management team in promoting Humana's mission for strategic growth and development.
• Complying with applicable federal, state, and contractual requirements and standards.
• Creating a productive and positive department through written and verbal communication, briefings, and team meetings.
• Developing and maintaining policies and procedures that support consistent, high-quality service delivery across the system of care.
• Supporting training and capacity-building efforts for care management extenders, including CHWs and peer specialists.
• Assisting in resolving individual member issues related to housing, food insecurity, transportation, and other social needs.
• Representing the care management program in collaborative initiatives, advisory groups, and community forums.
• Participating as a member of the management team in promoting Humana's mission for strategic growth and development.
• Complying with applicable federal, state, and contractual requirements and standards.
• Creating a productive and positive department through written and verbal communication, briefings, and team meetings.
• Developing and maintaining policies and procedures that support consistent, high-quality service delivery across the system of care.
• Supporting training and capacity-building efforts for care management extenders, including CHWs and peer specialists.
• Assisting in resolving individual member issues related to housing, food insecurity, transportation, and other social needs.
• Representing the care management program in collaborative initiatives, advisory groups, and community forums.
• Participating as a member of the management team in promoting Humana's mission for strategic growth and development.
• Complying with applicable federal, state, and contractual requirements and standards.
• Creating a productive and positive department through written and verbal communication, briefings, and team meetings.
• Developing and maintaining policies and procedures that support consistent, high-quality service delivery across the system of care.
• Supporting training and capacity-building efforts for care management extenders, including CHWs and peer specialists.
• Assisting in resolving individual member issues related to housing, food insecurity, transportation, and other social needs.
• Representing the care management program in collaborative initiatives, advisory groups, and community forums.
• Participating as a member of the management team in promoting Humana's mission for strategic growth and development.
• Complying with applicable federal, state, and contractual requirements and standards.
• Creating a productive and positive department through written and verbal communication, briefings, and team meetings.
• Developing and maintaining policies and procedures that support consistent, high-quality service delivery across the system of care.
• Supporting training and capacity-building efforts for care management extenders, including CHWs and peer specialists.
• Assisting in resolving individual member issues related to housing, food insecurity, transportation, and other social needs.
• Representing the care management program in collaborative initiatives, advisory groups, and community forums.
• Participating as a member of the management team in promoting Humana's mission for strategic growth and development.
• Complying with applicable federal, state, and contractual requirements and standards.
• Creating a productive and positive department through written and verbal communication, briefings, and team meetings.
• Developing and maintaining policies and procedures that support consistent, high-quality service delivery across the system of care.
• Supporting training and capacity-building efforts for care management extenders, including CHWs and peer specialists.
• Assisting in resolving individual member issues related to housing, food insecurity, transportation, and other social needs.
• Representing the care management program in collaborative initiatives, advisory groups, and community forums.
• Participating as a member of the management team in promoting Humana's mission for strategic growth and development.
• Complying with applicable federal, state, and contractual requirements and standards.
• Creating a productive and positive department through written and verbal communication, briefings, and team meetings.
• Developing and maintaining policies and procedures that support consistent, high-quality service delivery across the system of care.
• Supporting training and capacity-building efforts for care management extenders, including CHWs and peer specialists.
• Assisting in resolving individual member issues related to housing, food insecurity, transportation, and other social needs.
• Representing the care management program in collaborative initiatives, advisory groups, and community forums.
• Participating as a member of the management team in promoting Humana's mission for strategic growth and development.
• Complying with applicable federal, state, and contractual requirements and standards.
• Creating a productive and positive department through written and verbal communication, briefings, and team meetings.
• Developing and maintaining policies and procedures that support consistent, high-quality service delivery across the system of care.
• Supporting training and capacity-building efforts for care management extenders, including CHWs and peer specialists.
• Assisting in resolving individual member issues related to housing, food insecurity, transportation, and other social needs.
• Representing the care management program in collaborative initiatives, advisory groups, and community forums.
• Participating as a member of the management team in promoting Humana's mission for strategic growth and development.
• Complying with applicable federal, state, and contractual requirements and standards.
• Creating a productive and positive department through written and verbal communication, briefings, and team meetings.
• Developing and maintaining policies and procedures that support consistent, high-quality service delivery across the system of care.
• Supporting training and capacity-building efforts for care management extenders, including CHWs and peer specialists.
• Assisting in resolving individual member issues related to housing, food insecurity, transportation, and other social needs.
• Representing the care management program in collaborative initiatives, advisory groups, and community forums.
• Participating as a member of the management team in promoting Humana's mission for strategic growth and development.
• Complying with applicable federal, state, and contractual requirements and standards.
• Creating a productive and positive department through written and verbal communication, briefings, and team meetings.
• Developing and maintaining policies and procedures that support consistent, high-quality service delivery across the system of care.
• Supporting training and capacity-building efforts for care management extenders, including CHWs and peer specialists.
• Assisting in resolving individual member issues related to housing, food insecurity, transportation, and other social needs.
• Representing the care management program in collaborative initiatives, advisory groups, and community forums.
• Participating as a member of the management team in promoting Humana's mission for strategic growth and development.
• Complying with applicable federal, state, and contractual requirements and standards.
• Creating a productive and positive department through written and verbal communication, briefings, and team meetings.
• Developing and maintaining policies and procedures that support consistent, high-quality service delivery across the system of care.
• Supporting training and capacity-building efforts for care management extenders, including CHWs and peer specialists.
• Assisting in resolving individual member issues related to housing, food insecurity, transportation, and other social needs.
• Representing the care management program in collaborative initiatives, advisory groups, and community forums.
• Participating as a member of the management team in promoting Humana's mission for strategic growth and development.
• Complying with applicable federal, state, and contractual requirements and standards.
• Creating a productive and positive department through written and verbal communication, briefings, and team meetings.
• Developing and maintaining policies and procedures that support consistent, high-quality service delivery across the system of care.
• Supporting training and capacity-building efforts for care management extenders, including CHWs and peer specialists.
• Assisting in resolving individual member issues related to housing, food insecurity, transportation, and other social needs.
• Representing the care management program in collaborative initiatives, advisory groups, and community forums.
• Participating as a member of the management team in promoting Humana's mission for strategic growth and development.
• Complying with applicable federal, state, and contractual requirements and standards.
• Creating a productive and positive department through written and verbal communication, briefings, and team meetings.
• Developing and maintaining policies and procedures that support consistent, high-quality service delivery across the system of care.
• Supporting training and capacity-building efforts for care management extenders, including CHWs and peer specialists.
• Assisting in resolving individual member issues related to housing, food insecurity, transportation, and other social needs.
• Representing the care management program in collaborative initiatives, advisory groups, and community forums.
• Participating as a member of the management team in promoting Humana's mission for strategic growth and development.
• Complying with applicable federal, state, and contractual requirements and standards.
• Creating a productive and positive department through written and verbal communication, briefings, and team meetings.
• Developing and maintaining policies and procedures that support consistent, high-quality service delivery across the system of care.
• Supporting training and capacity-building efforts for care management extenders, including CHWs and peer specialists.
• Assisting in resolving individual member issues related to housing, food insecurity, transportation, and other social needs.
• Representing the care management program in collaborative initiatives, advisory groups, and community forums.