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Case Manager, Registered Nurse - Field - Rock Island, Mercer, Whiteside and surrounding areas
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Case Manager, Registered Nurse - Field - Rock Island, Mercer, Whiteside and surrounding areas
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Case Manager, Registered Nurse - Field - Rock Island, Mercer, Whiteside and surrounding areas
CVS Health —Loves Park, IL
- $66,575 - $142,576 a year
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Contract Negotiation Manager - Illinois
CVS Health —Illinois
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12d

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Manager, Care Management Support

Humana -
Rockford, IL

Apply Now

Job Details

Full-time
$78,400 - $107,800 a year

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

Microsoft Word
Microsoft Excel
Microsoft Outlook
Electronic health records (EHR) management
Team leadership
Client rapport building
Presentations for conferences or internal meetings
Patient management software
Driver's License
Medical records
Bachelor's degree
Data interpretation
Healthcare team management
Meeting facilitation
Technical Proficiency

Full Job Description

Become a part of our caring community

The Manager, Care Management Support, contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Manager, Care Management Support, 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 Support decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. The Manager, Care Management Support, requires cross departmental collaboration and conducts briefings and area meetings, and maintains frequent contact with other managers across the department.

Upon hire, this role will be assigned to support either MLTSS, LTSS, PI or TOC based on business needs.

Use your skills to make an impact

Required Qualifications

Must reside in Illinois
Bachelor's Degree.
3 or more years of technical experience with Microsoft, Word, Excel, Outlook.
3 or more years of management experience.
Demonstrated ability to conduct briefings and area meetings using excellent organizational and communication.
Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
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.

Preferred Qualifications

Master’s degree in business or a related field.
Previous experience working in a managed care field.
5 or more years of previous management/supervisor level experience.
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: Hybrid Office – This is a hybrid office position where employees primarily operate from home with occasional in-office attendance that may be required based on business needs, team meetings, collaboration, training, or other operational priorities.

Work at Home Requirements:

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.

Satellite, cellular and microwave connection can be used only if approved by leadership.

Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.

Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by Montage, 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.

Social Security Task

Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from [email protected] with instructions to add the information into the application at Humana’s secure website.

This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

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.

$78,400 - $107,800 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

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