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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.

Use your skills to make an impact
 

Required Qualifications

• Bachelor's Degree
• Must be willing to travel into IL as needed for meetings, audits or other departmental needs.
• 6 or more years of professional experience
• Active Registered Nurse (RN) license or Social Work (SW) license
• 2 or more years of previous management/supervisor level experience
• 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 passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

• Advanced degree in nursing or business related field
• Previous experience working in a managed care field
• 5 or more years of previous management/supervisor level experience

Additional Information

• Reporting Relationships
• You will have 1-8 direct reports

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.

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

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

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 p