Director of Care Management overseeing teams and resources for optimal member wellness at Humana. Driving strategic goals and improving performance across care management functions.
Responsibilities
lead teams of nurses and behavior health professionals responsible for care management
oversee the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and wellbeing of members
implement new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes
implement strategic plans, drive goals and objectives, and improve performance
provide input into functions strategy
Requirements
U.S. Citizenship
Successfully receive interim approval for government security clearance
Bachelor's degree
Ability to work 8 - 5 p.m. in the Eastern Time zone
Must have one of the following licenses - Active unrestricted RN license, LCSW, LMSW, Clinical Psychologist, Licensed Professional Counselor (LPC), Licensed Clinical Marriage and Family Therapist (LCMFT), and/or Licensed Mental Health Counselor (LMHC)
5 years of clinical RN or social work experience
An active designation as a Certified Care Manager (CCM)
7 years of leadership experience in Government Contracts, Business Development, Management, Medical Management, and/or other relevant/related experience
3 years of experience working with a government contract (TRICARE or VA)
Ability to integrate and coordinate content from various sources to establish deliverables for multiple stakeholders and hold others accountable for delivering
Ability to synthesize information from a variety of resources to present or address an issue or to answer a question
Ability to apply the principles of independent logical thinking to define problems, collect data, establish facts, draw valid conclusions, and make strategic recommendations
Benefits
medical, dental and vision benefits
401(k) retirement savings plan
time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
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