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Humana

Manager, Care Management

Humana

. Lead a team of care managers supporting members with transitional needs, chronic conditions, and barriers affecting health, independence, and well-being .

Posted 10/26/2026full-timeRemote • United StatesMid-LevelSenior💰 $86,300 - $118,700 per yearWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates strong leadership in care management, focusing on team development, performance monitoring, and operational excellence. Possesses expertise in case management, process improvement, and effective communication within a healthcare setting.

Highest-signal resume keywords
Registered Nurse LicenseCase Management ExperienceLeadership ExperienceMicrosoft Office ProficiencyManaged Care Experience

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Performance AnalysisQuality ImprovementOperational Data AnalysisChange ManagementWorkflow Updates
Soft Skills
Effective CommunicationCoaching and MentoringTeam EngagementProblem SolvingSolution-Oriented Approach
Tools & Technologies
Microsoft WordMicrosoft ExcelMicrosoft PowerPointMicrosoft Teams
Certifications & Qualifications
Registered Nurse License
Industry Keywords
Telephonic Care ManagementHealthcare AdministrationCompliance StandardsQuality ExpectationsPHI/HIPAA Compliance

About the role

Key responsibilities & impact
  • Lead a team of care managers supporting members with transitional needs, chronic conditions, and barriers affecting health, independence, and well-being
  • Provide operational leadership for telephonic, member-centered care management activities
  • Provide day-to-day leadership, direction, coaching, and development for assigned care management associates
  • Establish expectations, monitor performance, deliver feedback, and document performance-related conversations
  • Manage associate performance against quality, productivity, compliance, documentation, attendance, behavior, and member outcome expectations
  • Conduct one-on-one meetings, team meetings, call reviews, case reviews, and development discussions
  • Promote an engaged and inclusive team environment
  • Serve as an escalation resource for complex member, associate, operational, or process-related issues
  • Support associates through process changes, operational updates, system enhancements, structured schedules, and shifting priorities
  • Review operational and member outcome trends to identify risks, barriers, coaching needs, and process improvement opportunities
  • Recommend actions to improve workflows, strengthen outcomes, and support business objectives
  • Communicate with associates, peers, senior leaders, quality partners, workforce partners, and cross-functional stakeholders
  • Support audit readiness and adherence to policies, procedures, documentation standards, privacy requirements, and quality expectations
  • Address performance, attendance, behavior, quality, and compliance concerns
  • Encourage associate feedback, issue identification, and solution-oriented recommendations
  • Model Humana’s values and commitment to member and associate success
  • Support onboarding, training, mentoring, and ongoing education for telephonic care management associates

Requirements

What you’ll need
  • Active, unrestricted Registered Nurse license with no disciplinary action
  • 5 or more years of case management experience
  • 2 years of direct or indirect leadership experience
  • Ability to articulate ideas effectively in written and oral forms
  • Ability to analyze performance, productivity, quality, audit, documentation, and operational data; identify trends and risks; and implement action plans
  • Ability to support change management, process improvement, workflow updates, and operational initiatives
  • Comprehensive knowledge of Microsoft Office applications, including Word, Excel, PowerPoint, and Teams
  • Bachelor’s or Master’s degree in nursing, healthcare administration, business, or a related field (desirable)
  • 3 or more years of previous management/supervisor level experience (desirable)
  • Ability to lead, coach, motivate, and hold associates accountable (desirable)
  • Previous experience working in a managed care field (desirable)
  • Minimum internet speed of 25 Mbps download and 10 Mbps upload for home work
  • Separate room with a locked door usable as a home office
  • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
  • Florida Level 2 background screening for candidates applying from a Florida work location

Benefits

Comp & perks
  • Bonus incentive plan based on company and/or individual performance
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • 401(k) retirement savings plan
  • Paid time off
  • Company holidays
  • Personal holidays
  • Paid parental leave
  • Paid caregiver leave
  • Short-term disability
  • Long-term disability
  • Life insurance
  • Internet expense payment for employees working from home in California, Illinois, Montana, or South Dakota
  • Telephone equipment provided
  • Remote work arrangement
  • Occasional travel to Humana offices for training or meetings