Regional Sales Manager, Michigan (Enterprise)
CriblFull Time
Junior (1 to 2 years)
Candidates must reside in Michigan and be able to travel to Wayne County or Macomb County, possess an Active Registered Nurse (RN) license or Social Work (SW) license in the state of Michigan, have a minimum of an Associate’s Degree, a minimum of 5 years of professional experience as a licensed RN or Social Worker including case and/or disease management experience, a minimum of 2 years of management experience with at least 1 year in a home care, hospice, or equivalent field-based environment, proven ability to support clinicians, proficiency in analyzing and interpreting data trends, and comprehensive knowledge of Microsoft Office applications.
The Manager, Care Management oversees the assessment and evaluation of members’ needs and requirements to achieve and/or maintain optimal wellness, guides members/families toward and facilitates interaction with resources, monitors performance of staff including service performance and adherence to benchmarks, identifies members for specific case management and/or disease management activities, develops audit plans and tools, develops reporting tools, conducts briefings and area meetings, maintains frequent contact with other managers, reviews available information related to the member’s case, monitors case management activities, conducts post-discharge calls, conducts discharge planning, pre-assessment of elective admissions, onboard new staff, and is responsible for delivering care to all members served. The role also involves interviewing, hiring, coaching, evaluating, and mentoring a diverse care coordination workforce, and participating in Humana’s Driver Safety program and TB screening program.
Health insurance provider for seniors and military
Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.