[Remote] Manager, Care Management (Maternal-Child Health) at Humana

The Manager, Care Management (Maternal-Child Health) will lead teams of nurses and health professionals in maternal and child services care management, ensuring timely and culturally competent care delivery in compliance with Virginia DMAS requirements. Responsibilities include supervising care management personnel, overseeing all care management functions, leading the development of policies and procedures, collaborating with internal and external partners, overseeing member assessments, monitoring staffing levels, supporting staff training and development, influencing strategic planning, participating in Care Management collaborative meetings, and analyzing performance reports. The role also involves utilizing a holistic, member-centric approach, performing clinical interventions through care plan development, communicating with members and providers, coordinating transitions of care, and providing coaching to direct reports.