Humana · 7 hours ago
Care Manager - Tribal Health
United States
Full-time
Remote
Mid Level
$71K/yr - $98K/yr
3+ years expHumana is a health insurance company focused on caring for its members and patients. The Care Manager will assess and evaluate enrollees’ needs to achieve optimal wellness, guiding them towards appropriate resources and collaborating with an interdisciplinary care management team.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
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
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
Makes decisions about their own work methods, occasionally in ambiguous situations, and requires minimal direction, receiving guidance where needed
Follows established guidelines/procedures
Collaborates with providers and community services to promote quality and cost-effective outcomes
Periodic travel to Humana Oklahoma City office for meetings and training
Qualification
Required
Must Reside in Oklahoma
Experience working with Oklahoma-based tribal healthcare organizations
Active Registered Nurse (RN) license, or a Licensed Master Level Social Worker (LCSW, LMSW, LMSW-ACP, CSW, LPC, LMFT)
Minimum 1-year clinical experience
2 or more years of experience of care management
Exceptional communication and interpersonal skills with the ability to quickly build rapport
Knowledge of community health and social service agencies and additional community resources
Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
Experience working with Medicaid and/or Medicare Enrollees to coordinate services, care needs, or benefits
Preferred
Case Management Certification (CCM)
Bilingual preferred (Spanish, Native Tribal, Vietnamese, or other)
Benefits
Health benefits effective day 1.
Paid time off, holidays, volunteer time and jury duty pay, Recognition pay.
401(k) retirement savings plan with employer match.
Tuition assistance, Scholarships for eligible dependents.
Parental and caregiver leave.
Employee charity matching program.
Network Resource Groups (NRGs).
Career development opportunities.
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 (282)
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
Caleb Gallifant
Chief Operating Officer, CenterWell Home Health
Recent News
2026-01-16
2026-01-16
Company data provided by crunchbase