Base: $86,300 - $118,700 py; bonus: eligible for i...
Hybrid
Michigan residency or willingness to relocate
Active michigan rn or lsw license
5+ years clinical experience in utilization management
The Care Management Support Lead bridges gaps between market and enterprise care management teams to ensure optimal treatment and care outcomes for enrollees
Job Summary
The Care Management Support Lead bridges gaps between market and enterprise care management teams to ensure optimal treatment and care outcomes for enrollees.
This role requires interpreting clinical criteria and policies while collaborating with medical directors and quality improvement teams to reduce health disparities.
Humana offers competitive benefits including medical, dental, vision, 401(k) retirement savings, and paid time off for this remote position.
Matching Summary
The Care Management Support Lead bridges gaps between market and enterprise care management teams to ensure optimal treatment and care outcomes for enrollees.
Salary
Base: $86,300 - $118,700 per year; Bonus: Eligible for incentive plan based on performance; Benefits: Medical, dental, vision, 401(k), paid time off
Skills & Requirements
Must-have
Michigan residency or willingness to relocate
Active Michigan RN or LSW license
5+ years clinical experience in utilization management
2+ years leadership experience
Knowledge of Medicare/Medicaid regulations
Nice-to-have
Master's degree in nursing or social work
Nationally recognized case management certification
Experience leading integrated care teams
Advanced healthcare financial acumen
Prior quality improvement auditing experience
Key Requirements
Bachelor's degree in nursing (BSN) or social work
Active unrestricted Michigan RN or LSW license
5+ years clinical experience including Utilization Management
2+ years leadership experience
Proficiency in Microsoft Office programs
Work Rights
Michigan residency required or willingness to relocate