Manager Care Management

Profile

Description

The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals.

Responsibilities

The Manager, Care Management oversees the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross departmental collaboration, and conducts briefings and area meetings; maintains frequent contact with other managers across the department.

Required Qualifications

Associate's Degree

Active Registered Nurse (RN) license or Social Work (SW) license

5 or more years of care management, program development, or healthcare delivery experience in a primary care or ambulatory setting

2 or more years of leadership experience (leading programs, facilitating or managing processes or people)

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 located in the Atlanta region and be able to work in the Atlanta market clinics. This role is a flex role: WAH and working in the clinics in the Atlanta area.

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

Bachelor's degree or advanced degree in nursing or business health field

Previous experience working in a managed care field

5 or more years of previous management/supervisor level experience

Additional Information

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a Modern Hire interview. In this interview, you will read a set of interview questions and you will provide text responses to each question. You should anticipate this interview to take about 5-10 minutes. Your interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

ALERT:

Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana's secure website.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com