Family Care Partnership Manager Care Management

Profile

Description

Humana/iCare is seeking a Care Management Manager to join the growing team in the Family Care Partnership (FCP) program. The FCP Care Management Manager will oversee a team of nurses and human service professionals working in the field who are responsible for care management services through the FCP program. Share your talents and develop your leadership skills all while doing your part to improve the lives of others.

Responsibilities

The FCP Care Management Manager is a key leader within the FCP Program, assuring high quality care management support for members and effective working relationships with contracted providers and other partners and stakeholders. The FCP Care Management Manager is also expected to help build a workplace culture that is positive and productive and must demonstrate professionalism, have strong interpersonal skills and a commitment to working effectively as a team member across disciplines and with other departments. The FCP Care Management Manager oversees the social and clinical assessments and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness and independence by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. This position is responsible for ensuring that the Care Management team provides case management services in compliance with the Family Care Partnership program model and contract, achieves member satisfaction, CMS SNP model of care, prevention and wellness, service and utilization management.

Essential Duties and Responsibilities:

Screen, interview, orient and establish dynamic and successful associates.

Supervise and evaluate the performance of associates assigned to their teams.

Promote a collaborative team environment and positive work culture.

Provide leadership, coaching and feedback to encourage professional development and associate retention.

Convene team meetings to the Interdisciplinary Team (IDT) to provide case staffings and share information.

Provide problem solving and coaching to associates to meet member needs.

Utilize established systems to monitor documentation to ensure quality and contract compliance.

Assist associates in adapting to changes as they occur within the Family Care Partnership model, the program structure or as the company needs require.

Communicate with program management about the challenges faced by the IDT and work with management to address these challenges.

Work with FCP and iCare/Humana leadership to develop and implement initiatives to achieve identified metrics such as HEDIS elements and financial performance targets and other strategic initiatives as identified.

Work with other areas of the company to resolve case specific issues with the IDT.

Collaborate with the FCP Learning and Development team to provide training to associates, ensuring they stay current with the Family Care Partnership model and other best practices or other program development initiatives.

Collaborate with Program and Company Management to provide leadership to the IDT.

Required Qualifications

Bachelor's Degree or Registered Nurse

Four (4) or more years of professional experience.

Two (2) or more years of management/supervisory experience.

Experience in managed care, long term care programs, or in a health care field.

Comprehensive knowledge of all Microsoft Office applications, specifically Word, Excel, Outlook, and Power Point.

Experience navigating electronic medical systems both internal and external to an organization.

To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.

Satellite, cellular and microwave connection can be used only if approved by leadership.

Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.

Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Preferred Qualifications

Bachelor's Degree or advanced degree in social work, human services, nursing or another related field.

Proficiency in analyzing and interpreting data trends.

Experience managing interdisciplinary teams of Human Service professionals and RNs.

Additional Information

Workstyle: Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.

Location: Wisconsin, preferably within the Family Care Partnership service areas (Milwaukee, Dane, Racine, Kenosha, Sauk Counties).

Travel: up to 10% to Humana/iCare's Milwaukee office location.

Direct Reports: 10-15 associates

Typical Work Days/Hours: Monday through Friday; 8:30am - 5:00 pm (CST)

Benefits: Benefits are effective on day 1. Full time Associates enjoy competitive pay and a comprehensive benefits package that includes: 401k, Medical, Dental, Vision and a variety of supplemental insurances, tuition assistance and much more!

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.

Social Security Alert

Humana Values personal identity protection. Please be aware that applicants selected for leader review may be asked to provider 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

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

Company info

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