Associate Director, Care Management

Associate Director Of Care Management

Become a part of our caring community and help us put health first. Humana Gold Plus Integrated is seeking Associate Directors of Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of how organizational capabilities interrelate across department(s). The Associate Director, Care Management, makes decisions related to resolving complex technical and operational problems within department(s). Oversee the assessment and evaluation of members' needs and requirements to achieve and / or maintain an optimal wellness state by guiding members / families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. Guides the development, implementation, and evaluation of care management programs to align organizational objectives and regulatory requirements. Leads multiple managers or highly specialized professional associates. Monitors data sharing among internal and external resources to ensure service integration, continuity of care, challenges, risk, and opportunities. Facilitate effective communication and collaboration with internal and external stakeholders, including providers, payers, and regulatory agencies. Lead the preparation and presentation of program reports, utilizing data analytics to monitor performance, identify trends, and recommend improvements. Champion initiatives for process improvement and innovation to advance care management practices and outcomes.

Required Qualifications :

Must reside in the state of Illinois, Indiana or Wisconsin. An active, unrestricted, Registered Nurse (RN) license, Licensed Clinical Social Worker (LCSW) OR Licensed Clinical Professional Counselor (LCPC) in the state of Illinois. Six (6) or more years of professional experience working in the health care or managed care industry. Three (3) or more years' experience working for a managed care health plan. Minimum of two (2) years of experience in a leadership role managing other leaders or supervisors. Three (3) or more years of experience leading care coordination teams to drive measurable outcomes across diverse member populations. Comprehensive knowledge of all Microsoft Office applications, including Word, Excel, and PowerPoint. Proficiency in analyzing and interpreting data trends. Progressive business consulting and / or operational leadership experience. Must be able to travel in the state of Illinois to provider offices, Illinois Department of Healthcare and Family Services (HFS) and Centers for Medicare & Medicaid Services (CMS) and Humana's Illinois locations. This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Preferred Qualifications :

Residency in the state of Illinois. Advanced degree in nursing, Social Work or business-related field. Previous experience working in a managed care field. Five (5) or more years of previous management / supervisory level experience.

Additional Information :

Workstyle : This is a remote position. Travel : Up to 25% to provider offices, Illinois Department of Healthcare and Family Services (HFS) and Centers for Medicare & Medicaid Services (CMS) and Humana's Illinois locations for team engagement meetings. Direct Reports : Up to 8.

Interview Format :

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Travel : While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours : 40

Pay Range : $104,000 - $143,000 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and / or individual performance.

About Us :

Humana Inc. (NYSE : HUM) is committed to putting health first for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

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. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.