Manager, Care Management
Humana —Chicago, IL
- $86,300 - $118,700 a year
- Full-time
- Nursing
- Up to 50% travel
- RN License
- Paid parental leave
- Paid holidays
1d
Utilization Review Manager
GRO Community —Chicago, IL
- Email
- Nursing
- Writing skills
- Licensed Clinical Social Worker
Quick Apply
4d
Practice Manager
Vitaline —Lincolnwood, IL
- $125,000 - $160,000 a year
- Full-time
- Hybrid work
- 5 years
- Office
- Master's degree
- Health insurance
- Dental insurance
Quick Apply
Patient Care Manager - Floater (RN)
VITAS Healthcare —Lombard, IL
- $0.70 per mile
- Full-time
- Nursing
- RN License
- Mid-level
- Travel reimbursement
- Disability insurance
Quick Apply
RN Care Manager-Nights
Endeavor Health —Glenview, IL
- $40.45 - $62.70 an hour
- Full-time
- Acute care
- Nursing
- BLS Certification
- Free parking
- Wellness program
Quality Control Manager
SERENITY HOME HEALTH CARE —Niles, IL
- $20 - $22 an hour
- Full-time
- Bilingual
- Spanish
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Orthodontic Manager
Ortho 360 —Chicago, IL
- $23 - $29 an hour
- Full-time
- Spanish
- Dental office
- OSHA
- Dental insurance
- Paid time off
Quick Apply
Manager Anesthesia Support Services
UChicago Medicine —Illinois
- Email
- Nursing
- Bachelor's degree
- Operating room
Retail Clinic Manager
Options Medical Weight Loss —Arlington Heights, IL
- $65,000 - $70,000 a year
- Full-time
- OSHA
- Marketing
- HIPAA
- Continuing education credits
- Disability insurance
Quick Apply
Dialysis Clinical Manager Registered Nurse - RN
Fresenius Medical Care —Chicago, IL
- $99,700 - $166,100 a year
- Full-time
- Nursing
- Heavy lifting
- RN License
- Health insurance
- Dental insurance
Quick Apply
Dialysis Clinical Manager Registered Nurse - RN
Fresenius Medical Care —Chicago, IL
- $85,000 - $143,000 a year
- Full-time
- Nursing
- Heavy lifting
- RN License
- Health insurance
- Dental insurance
Quick Apply
Virtual Reimbursement Manager
Syneos Health Commercial Solutions —Chicago, IL
- $140,000 - $150,000 a year
- Mid-level
- Bachelor's degree
- Medical terminology
- Health insurance
- Dental insurance
Virtual Reimbursement Manager
サイネオス・ヘルス —Chicago, IL
- $140,000 - $150,000 a year
- Mid-level
- Bachelor's degree
- Medical terminology
- Health insurance
- Dental insurance
Process Improvement and Risk Management Manager
Olympia Fields Hospital —Olympia Fields, IL
- $96,012 - $130,000 a year
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
7d
Manager Inpatient Care Management
Advocate Aurora Health —Park Ridge, IL
- $47.50 - $71.25 an hour
- Weekends as needed
- Nursing
- RN License
- Inpatient
- Paid time off
Manager Business Office
Montrose Behavioral Health Hospital - Adult Campus —Chicago, IL
- Full-time
- Mid-level
- Office
- High school diploma or GED
Customer Success & Clinical Utilization Manager - US
Mentice —Chicago, IL
- Nursing
- Hospital
- 5 years
Quick Apply
8d
ED UTILIZATION REVIEW/CASE MANAGER
Insight —Chicago, IL
- $85,000 - $90,000 a year
- Acute care
- Microsoft Word
- Nursing
- Disability insurance
- Health insurance
Quick Apply
Medical Laboratory Operations Manager - Molecular
University of Illinois —Chicago, IL
- $76,148.80 - $154,232.00 a year
- Online Application
- HIPAA
- Clinic experience
- Administrative experience
- Health insurance
- Dental insurance
11d
Revenue Cycle Manager
UCAN —Chicago, IL
- $75,000 - $85,000 a year
- 5 years
- Office
- Finance
- Health savings account
- AD&D insurance
Quick Apply

I want to receive the latest job alert for utilization management manager in chicago, il

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

utilization management manager jobs near chicago, il

Manager, Care Management

Humana -
Chicago, IL

Apply Now

Job Details

Full-time
$86,300 - $118,700 a year
1 day ago

Benefits

Paid parental leave
Caregiver leave
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Parental leave
Vision insurance
Life insurance

Qualifications

Trend analysis
Driver's License
Data interpretation
Associate's degree

Full Job Description

Become a part of our caring community

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.

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 contact with other managers across the department.

Develop system-view recommendations.
Report trends.
Implement appropriate actions to control trends.
Develop audit plans and tools for teams to ensure compliance with state contract on performance metrics and to ensure member needs are met.
Develop reporting tools in collaboration with leadership to identify clinical performance.
Interviewing, hiring, disciplining, evaluating and mentoring a diverse care coordination work force.
Onboard new staff including but not limited all pre-employment human resource tasks, ordering of software, hardware, supplies and support technologies.
Monitor performance of staff including service performance and adherence to establish utilization and care coordination benchmarks.
Identify members for specific case management and / or disease management activities.
Monitor case management activities, post-discharge calls, discharge planning and pre-assessment of elective admissions.
Requires travel, 50 – 75% of the time.

Use your skills to make an impact

Required Qualifications

Associate's Degree
Active Registered Nurse (RN) license or Social Work (SW) license
5 or more years of professional experience
2 or more years of management experience
Proficiency in analyzing and interpreting data trends.
Progressive business consulting and/or operational leadership experience

Preferred Qualifications

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

Additional Information

This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.

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.

Scheduled Weekly Hours

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.

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Apply Now

Refine Your Search

utilization management manager jobs in chicago, il

Manager, Care Management

Utilization Review Manager

Practice Manager

Patient Care Manager - Floater (RN)

RN Care Manager-Nights

Quality Control Manager

Orthodontic Manager

Manager Anesthesia Support Services

Retail Clinic Manager

Dialysis Clinical Manager Registered Nurse - RN

Dialysis Clinical Manager Registered Nurse - RN

Virtual Reimbursement Manager

Virtual Reimbursement Manager

Process Improvement and Risk Management Manager

Manager Inpatient Care Management

Manager Business Office

Customer Success & Clinical Utilization Manager - US

ED UTILIZATION REVIEW/CASE MANAGER

Medical Laboratory Operations Manager - Molecular

Revenue Cycle Manager

I want to receive the latest job alert for utilization management manager in chicago, il

Related Searches

Explore jobs in more locations

Become a part of our caring community

Use your skills to make an impact

About us

Job Seeker Tools

Employer Tools

Browse

Stay Connected