Humana · 11 hours ago
Care Manager - Physical Health
United States
Full-time
Remote
Mid Level
$71K/yr - $98K/yr
3+ years expHumana is a health insurance company focused on helping people achieve their best health. The Care Manager will work primarily in a telephonic role to assess and evaluate enrollees’ needs, guiding them towards appropriate resources and ensuring they receive holistic person-centered care.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Employs a variety of strategies, approaches, and techniques to manage an Enrollee’s behavioral, physical, environmental, and psycho-social health needs
Ensures Enrollees are progressing toward desired outcomes by continuously monitoring their assessments and evaluations
Identifies and resolves barriers that hinder effective care and ensures through continuous monitoring of assessments and evaluations that the Enrollee is progressing toward desired outcomes
Creates Enrollee care plans, and understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas
Makes decisions about their own work methods, occasionally in ambiguous situations, and requires minimal direction, receiving guidance where needed
Performs telephonic and face to face assessments and evaluations of the member’s needs and requirements to achieve and/or maintain an optimal wellness state by guiding members/families toward the appropriate resources for the care and overall wellbeing of the member
Ensures member is progressing towards desired outcomes by continuously monitoring care through assessments and/or evaluations
Creates member care plans
Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas
Collaborates with providers and community services to promote quality and cost-effective outcomes
Follows established guidelines/procedures
Possible travel to Humana Oklahoma office for meetings and training
Qualification
Required
Must reside in Oklahoma
Active Registered Nurse (RN) license, Licensed Professional Counselor (LPC), or Licensed Clinical Social Worker (LCSW)
Minimum 1-year clinical experience
2 or more years of care management
Experience working with Medicaid and/or Medicare Enrollees to coordinate services, care needs or benefits
Knowledge of community health and social service agencies and additional community resources
Exceptional communication and interpersonal skills with the ability to quickly build rapport
Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits
This role is considered member facing and is part of Humana Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB
Preferred
Case Management Certification (CCM)
Bilingual Spanish Speaking
Benefits
Medical, dental and vision benefits
401(k) retirement savings plan
Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
Short-term and long-term disability
Life insurance
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
H1B Sponsorship
Humana has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (202)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Colin Drylie
Senior Vice President, Experience Transformation
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