Remote Otter LogoRemoteOtter

Manager, Care Management - Remote

Posted 4 weeks ago
All others
Full Time
MI, USA
$86,300 - $118,700/year

Overview

The Manager, Care Management leads teams of nurses and behavioral health professionals responsible for care management, overseeing the assessment and evaluation of members' needs to achieve optimal wellness.

In Short

  • Leads care management teams of nurses and behavioral health professionals.
  • Works within specific guidelines and procedures.
  • Requires 50-75% travel in Wayne County or Macomb County.
  • Responsible for assessing and evaluating member needs.
  • Conducts briefings and area meetings with cross-departmental collaboration.
  • Monitors staff performance and adherence to care coordination benchmarks.
  • Develops audit plans and tools for compliance with state contracts.
  • Responsible for hiring, coaching, and mentoring staff.
  • Requires active RN or SW license in Michigan.
  • Offers competitive benefits including medical, dental, and retirement plans.

Requirements

  • Must reside in Michigan and travel to Wayne County or Macomb County.
  • Active RN or SW license in Michigan.
  • Minimum education of an Associate's Degree.
  • 5 years of professional experience as a licensed RN or Social Worker.
  • 2 years of management experience in a relevant field.
  • Proficiency in data analysis and Microsoft Office applications.
  • Must have a dedicated home office space.
  • Valid state driver’s license and vehicle insurance required.
  • Experience in managed care preferred.
  • Bilingual in English and Spanish is a plus.

Benefits

  • Medical, dental, and vision benefits.
  • 401(k) retirement savings plan.
  • Paid time off and holidays.
  • Short-term and long-term disability insurance.
  • Life insurance and other opportunities for personal wellness.

H.A.H.

Humana At Home 1

004 Humana Insurance Company is dedicated to putting health first for its teammates, customers, and the communities it serves. As a leading provider of insurance and healthcare services, Humana focuses on improving the quality of life for millions of individuals, including those with Medicare and Medicaid, families, and military personnel. The company emphasizes a holistic approach to well-being, offering a range of benefits designed to support personal wellness and smart healthcare decisions. Humana is committed to fostering an inclusive workplace and actively promotes equal opportunity for all employees.

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