[Remote] Manager, Care Management at Humana

Managers of Care Management will lead teams of nurses, care coordinators, and behavioral health professionals responsible for care management. They will supervise, direct, and evaluate healthcare professionals to ensure effective care coordination, and lead cross-functional collaboration through regular briefings and meetings. Responsibilities include identifying members for case management, monitoring activities like post-discharge calls and pre-assessments, and developing system-view recommendations and reports to control trends. They will also develop audit plans and tools for compliance, create reporting tools to identify clinical performance, and manage staff performance, including hiring, training, mentoring, and coaching. Onboarding new associates and monitoring staff performance against benchmarks are also key duties.