Humana

Compensation

Full Description

Description: • Lead teams of nurses, care coordinators and behavioral health professionals responsible for care management • Works within guidelines; applies advanced knowledge to solve moderately complex problems; receives assignments as objectives and determines approach, resources, schedules, and goals • Supervises, directs and evaluates a diverse group of health care professionals to assure effectiveness of care coordination activities • Leads cross-functional collaboration through regular briefings and area meetings; maintains ongoing communication with departmental managers to ensure alignment and operational efficiency • Identify members for specific case management and/or disease management activities • Monitors case management activities, post-discharge calls, discharge planning and pre-assessment of elective admissions • Develop system-view recommendations, reports trends and implement appropriate actions to control trends • Develop audit plans and tools for teams to ensure compliance with state contracts on performance metrics and to ensure member needs are met • Develop reporting tools in collaboration with leadership to identify clinical performance • Interviews, hires, mentors, evaluates, coaches and manage performance for a diverse care coordination team • Onboards new associates including but not limited all pre-employment human resource tasks, ordering software, hardware, supplies and support technologies • Monitors performance of staff including service performance and adherence to established utilization and care coordination benchmarks • Use your skills to make an impact Requirements: • Must reside in Illinois; An active, unrestricted RN license, LCSW or LCPC in Illinois • Five (5) or more years of professional experience in the health care industry and/or care management • Two (2) or more years of leadership experience • Comprehensive knowledge of Microsoft Office applications (Word, Excel, PowerPoint) • Ability to use electronic information applications/software including electronic medical records • Proficiency in analyzing and interpreting data trends • TB screening requirement as part of Humana's TB screening program • Ability to travel throughout the state of Illinois • Valid state driver's license and personal vehicle liability insurance (and meet state minimum requirements) Benefits: • Medical, dental and vision benefits • 401(k) retirement savings plan • Paid time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave) • Short-term and long-term disability • Life insurance • Bonus incentive plan • Many other opportunities