Manager, Care Management
About the role
The Manager, Care Management serves as the strategic leader for the Care Management team. You will oversee the assessment and evaluation of members' needs to achieve and maintain optimal wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and wellbeing of members. You will make decisions regarding resources, approach, and tactical operations for projects involving their own departmental area. Requires cross departmental collaboration, and conduct briefings and area meetings; maintain frequent contact with other managers across the department. You will report to the Associate Director of Health Services. As the Care Manager you will have up to 15 direct reports.
Responsibilities
You will lead all efforts in finding and executing creative ways to remove friction from the system for both our members and provider partners at every opportunity. Requires expertise in care management and rethinking the approach to providing senior members the care that they need.
Requirements
- Has an active Registered Nurse (RN) license or Licensed Clinical Social Work (LCSW) license.
- 5 or more years of professional clinical experience.
- 2 or more years of progressive business consulting and/or operational leadership experience.
- Ability to travel into the Columbia SC office for business a few times per year.
- 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.
- Proficiency in analyzing and interpreting data trends.
Qualifications
- Bachelor's degree or advanced degree in nursing or business health field.
- Experience working with Managed Care or Medicaid populations.
Preferred Qualifications
- Reside in the state of South Carolina.
- Bachelor's degree or advanced degree in nursing or business health field.
- Experience working with Managed Care or Medicaid populations.
Skills
Expertise in care management and rethinking the approach to providing senior members the care that they need.
Benefits
Health benefits effective day 1, Paid time off, holidays, volunteer time and jury duty pay, Recognition pay, 401(k) retirement savings plan with employer match, Tuition assistance, Scholarships for eligible dependents, Parental and caregiver leave, Life insurance, Employee charity matching program, Network Resource Groups (NRGs), Career development opportunities, Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Pay
$86,300 - $118,700 per year
Schedule
Remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40