Become a part of our caring community
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 an optimal wellness state by guiding members and their families toward resources appropriate for their care and wellbeing. You will make decisions regarding resources, approaches, and tactical operations for projects within your departmental area. This role requires cross-departmental collaboration, conducting briefings and area meetings, and maintaining frequent contact with other managers across the department.
You will report to the Associate Director of Health Services and will have up to 15 direct reports.
The Manager, Care Management leads all efforts in finding and executing creative ways to remove friction from the system for both our members and provider partners. This role requires expertise in care management and a commitment to rethinking the approach to providing senior members with the care they need.
Use your skills to make an impact
Required Qualifications
- Must reside in the state of South Carolina.
- Associate Degree.
- 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 to the Columbia, SC office for business a few times per year.
- Comprehensive knowledge of all Microsoft Office applications (Word, Excel, PowerPoint).
- Must have a separate room with a locked door for a home office to ensure absolute and continuous privacy.
- Proficiency in analyzing and interpreting data trends.
Preferred Qualifications
- Bachelor's degree or advanced degree in nursing or a business health field.
- Experience working with Managed Care or Medicaid populations.
Additional Information
Work-At-Home Requirements
To ensure effectiveness, self-provided internet service must meet these criteria:
- Minimum download speed of 25 Mbps and upload speed of 10 Mbps is recommended (wireless, wired cable, or DSL).
- Satellite, cellular, and microwave connections require leadership approval.
- Associates in California, Illinois, Montana, or South Dakota receive a bi-weekly internet expense payment.
- Humana provides telephone equipment.
- Must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Interview Format
We utilize HireVue technology to enhance our hiring process. If selected for a first-round interview, you will receive an email invitation to participate in a 15-20 minute recorded or text-based interview via phone or computer.
Why Humana?
Humana offers competitive, flexible benefits to promote the health and well-being of employees and their families, including:
- Health benefits effective day 1.
- Paid time off, holidays, volunteer time, and jury duty pay.
- 401(k) retirement savings plan with employer match.
- Tuition assistance and scholarships for dependents.
- Parental and caregiver leave.
- Employee charity matching program.
- Network Resource Groups (NRGs) and career development opportunities.
Compensation
- Scheduled Weekly Hours: 40
- Pay Range: $86,300 - $118,700 per year (eligible for a bonus incentive plan).
About us
Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status.