Manager, Care Management

Become a part of our caring community
 

We are looking for a leader who is committed to the health and well-being of the members we serve. As Manager, Care Management, you will lead a team of care management professionals who provide telephonic outreach, support, and care coordination services to our Special Needs members. We are looking for someone who can communicate with all levels of the organization and motivate team members to meet all established goals.

You will be responsible for management of the daily workflow and the leadership of the department staff. You will oversee the assessment and evaluation of members' needs and requirements to achieve an optimal wellness state. Use your management or supervisory skills, and your health care background to ensure that team members meet all productivity and quality standards. Someone who can lead change, promote a positive work environment and respond to unexpected changes or demands should be successful in this role.

Responsibilities include:

• Provide managerial oversight of Humana associates in care management roles, including Care Managers and Care Coaches.
• Provide leadership, encouragement and teaching of Humana Care Management techniques.
• Monitor and audit staff performance.
• Develop plans of action for process improvement
• Help promote the multi-disciplinary healthcare team.
• Ensure compliance and accuracy regarding clinical program design, implementation, monitoring and reporting.
• Work with other members of the clinical leadership team and comply with policy and procedures, performance and reporting standards.

Use your skills to make an impact
 

Required Qualifications

• Associate's degree or higher

• Active, unrestricted Registered Nurse (RN) license or Social Work (SW) license
• 5 or more years of professional experience
• 2 or more years of supervisory, operational leadership experience, including interim team lead, mentoring new associates, SME, project leader, etc.
• Willingness to flex schedule availability, with evenings and occasional weekends

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

Work at Home Information

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Florida Background Screening Requirements: Notice for candidates applying to this position from a Florida work location, including Florida home-based work location. This position is subject to Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse. For information about the screening process and requirements, visit: https://info.flclearinghouse.com.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$86,300 - $118,700 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 09-05-2026

About us
 

About Humana: 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 – 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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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. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.