• Become a part of our caring community and help us put health first Humana Gold Plus Integrated is looking for Managers of Care Management who will lead teams of nurses, care coordinators and behavioral 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. • Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. • The Manager, Care Management supervises, direct and evaluate a diverse group of health care professionals to assure effectiveness of care coordination activities. • Leads cross-functional collaboration through regular briefings and area meetings; maintains ongoing communication with departmental managers to ensure alignment and operational efficiency. • Identify members for specific case management and/or disease management activities. • Monitors case management activities, post-discharge calls, discharge planning and pre-assessment of elective admissions. • Develop system-view recommendations, reports trends and implement appropriate actions to control trends. • Develop audit plans and tools for teams to ensure compliance with state contracts on performance metrics and to ensure member needs are met. • Develop reporting tools in collaboration with leadership to identify clinical performance. • Interviews, hires, mentors, evaluates, coaches and manage performance for a diverse care coordination team. • Onboards new associates including but not limited to all pre-employment human resource tasks, ordering software, hardware, supplies and support technologies. • Monitors performance of staff including service performance and adherence to established utilization and care coordination benchmarks.