RN Manager Care Management - The Greater Chicago Area

Profile

Description

The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals.

Responsibilities

The Manager, Care Management supervises, direct and evaluate a diverse group of health care professionals to assure effectiveness of care coordinators activities. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross-departmental collaboration, and conducts briefings and area meetings; maintains frequent ****% of the time. Travel will be with the staff in the field to monitor cases and provide assistance, applicants must reside in Illinois to be considered.


Required Qualifications


Active Unrestricted RN license in the state of Illinois with a Bachelor's Degree or in lieu of a Bachelor's Degree, 5 years of experience in case management. OR Licensed Mental Health Professional
5 or more years of Medicaid or Medicare experience.
2 or more years of leadership experience to include staff development and performance management.
Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint.
Ability to use a variety of electronic information applications/software programs including electronic medical records.
Proficiency in analyzing and interpreting data trends.
Exceptional communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders.
Proven ability of critical thinking, organization, written and verbal communication, problem-solving, and analytical skills.
Training class scheduled for Tuesday June 1st 2021


Additional Required Qualifications


This role is a part of Humana's Driver Safety program and therefore requires and individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,00 limits.
This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Must have a separate room with a locked door that can be used as a home office to ensure you and your patients have absolute and continuous privacy while you work.
Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required.


Preferred Qualifications


Advanced degree in nursing or business health field
Certified Case Manager (CCM)
LTSS Experience
Home Health / Field Experience
Previous experience working in a managed care field
Prior experience with healthcare quality measures STARS, HEDIS, etc. and/or clinical program monitoring/evaluation.
Knowledge of community health and social service agencies and additional community resources.


Additional Information

Direct Reports: Up to 15 Associates.

Hours: Typically Monday-Friday 8:00 AM - 5:00 PM (flexible with schedule if needed) with rotating on-call/oversight during weekends and holidays.

Work Location and Travel: Considered primarily remote/work at home (WAH) position, but will require travel 50% - 75%. Must be able to travel occasionally to Humana's office location.

Interview Process

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

Company info

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