Hybrid Director, Care Management

at Humana

• Job title: Director, Care Management
• Job type: Full Time
• Experience level: Lead
• Salary: $126,300 - $173,700 per year
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, United States

About the role

• Director of Care Management overseeing teams and resources for optimal member wellness at Humana. Driving strategic goals and improving performance across care management functions.

Responsibilities

• lead teams of nurses and behavior health professionals responsible for care management
• oversee the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and wellbeing of members
• implement new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes
• implement strategic plans, drive goals and objectives, and improve performance
• provide input into functions strategy

Requirements

• U.S. Citizenship
• Successfully receive interim approval for government security clearance
• Bachelor's degree
• Ability to work 8 - 5 p.m. in the Eastern Time zone
• Must have one of the following licenses - Active unrestricted RN license, LCSW, LMSW, Clinical Psychologist, Licensed Professional Counselor (LPC), Licensed Clinical Marriage and Family Therapist (LCMFT), and/or Licensed Mental Health Counselor (LMHC)
• 5 years of clinical RN or social work experience
• An active designation as a Certified Care Manager (CCM)
• 7 years of leadership experience in Government Contracts, Business Development, Management, Medical Management, and/or other relevant/related experience
• 3 years of experience working with a government contract (TRICARE or VA)
• Ability to integrate and coordinate content from various sources to establish deliverables for multiple stakeholders and hold others accountable for delivering
• Ability to synthesize information from a variety of resources to present or address an issue or to answer a question
• Ability to apply the principles of independent logical thinking to define problems, collect data, establish facts, draw valid conclusions, and make strategic recommendations

Benefits

• medical, dental and vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance
• many other opportunities