Base: $126,300 - $173,700 py; bonus: eligible for ...
Hybrid
Long-term supports and services (ltss) experience
Home and community based services (hcbs) background
Michigan rn or social work license
CarePlus Health Plans Inc. is seeking a Director of Care Management to oversee long-term support and services for the Michigan Medicaid program. The role involves leading a clinical team to meet performance objectives, improve health outcomes, and ensure compliance with care management standards
Job Summary
The Director will provide oversight to ensure the company's Long-Term Supports and Services care management objectives are met for the Michigan Medicaid program.
This role requires leading, developing, and operationalizing LTSS care management within Humana's population health strategy while ensuring NCQA standards are applied.
Humana offers competitive benefits including medical, dental, vision, 401(k), paid time off, and a bonus incentive plan based on performance.
Matching Summary
Match Score: 85
CarePlus Health Plans Inc. is seeking a Director of Care Management to oversee long-term support and services for the Michigan Medicaid program. The role involves leading a clinical team to meet performance objectives, improve health outcomes, and ensure compliance with care management standards.
Salary
Base: $126,300 - $173,700 per year; Bonus: Eligible for incentive plan based on company/individual performance; Benefits: Medical, dental, vision, 401(k), paid time off, disability, life insurance
Skills & Requirements
Must-have
Long-Term Supports and Services (LTSS) experience
Home and Community Based Services (HCBS) background
Michigan RN or Social Work license
NCQA Care Management criteria knowledge
Population health strategy leadership
Team building and training capabilities
Nice-to-have
Certified Case Manager (CCM)
Certified Professional in Health Care Quality (CPHQ)
Person-centered thinking approach
Collaborative work environment commitment
Experience with elderly or disabled populations
Key Requirements
Master's degree in nursing, social work, gerontology, or related field
Active unrestricted Michigan RN or Social Work license
Five years of LTSS industry experience including HCBS
Five years of leadership experience managing large teams
Prior work experience with elderly or disabled populations