Job description
Become a part of our caring community
We are looking for a leader who is committed to the health and well-being of the members we serve. As Manager, Care Management, you will lead a team of care management professionals who provide telephonic outreach, support, and care coordination services to our Special Needs members. We are looking for someone who can communicate with all levels of the organization and motivate team members to meet all established goals.
You will be responsible for management of the daily workflow and the leadership of the department staff. You will oversee the assessment and evaluation of members' needs and requirements to achieve an optimal wellness state. Use your management or supervisory skills, and your health care background to ensure that team members meet all productivity and quality standards. Someone who can lead change, promote a positive work environment and respond to unexpected changes or demands should be successful in this role.
Responsibilities include:
• Provide managerial oversight of Humana associates in care management roles, including Care Managers and Care Coaches.
• Provide leadership, encouragement and teaching of Humana Care Management techniques.
• Monitor and audit staff performance.
• Develop plans of action for process improvement
• Help promote the multi-disciplinary healthcare team.
• Ensure compliance and accuracy regarding clinical program design, implementation, monitoring and reporting.
• Work with other members of the clinical leadership team and comply with policy and procedures, performance and reporting standards.
Use your skills to make an impact
Requirements
- • Associate's degree or higher
• Active, unrestricted Registered Nurse (RN) license or Social Work (SW) license
• 5 or more years of professional experience
• 2 or more years of supervisory, operational leadership experience, including interim team lead, mentoring new associates, SME, project leader, etc.
• Willingness to flex schedule availability, with evenings and occasional weekends
• Bachelor's degree or advanced degree in nursing or business health field
• Previous experience working in a managed care field
• 5 or more years of previous management/supervisor level experience
Work at Home Information
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Florida Background Screening Requirements: Notice for candidates applying to this position from a Florida work location, including Florida home-based work location. This position is subject to Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse. For information about the screening process and requirements, visit: https://info.flclearinghouse.com.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$86,300 - $118,700 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 09-05-2026
About Humana
Humana's Primary Care Organization operates 340+ senior-focused primary care centers across 15 states under the CenterWell and Conviva brands, providing value-based care to adult and geriatric patients. They hire Nurse Practitioners for part-time roles in collaborative, team-based primary care settings with lower patient volumes, and they hire bilingual Registered Nurses for remote telephonic care management positions supporting members with chronic and complex health conditions, requiring assessment, care planning, and coordination with interdisciplinary teams.
