Humana · 7 hours ago
Director, Care Management
United States
Full-time
Remote
Mid, Senior Level
$126K/yr - $174K/yr
7+ years expHumana is committed to putting health first and is seeking a Director of Care Management to lead teams of nurses and behavioral health professionals. This role involves overseeing the assessment and evaluation of members' needs to achieve optimal wellness and implementing strategic plans to improve performance and drive goals.
Health CareHealth InsuranceInsuranceVenture Capital
No H1B
Security Clearance RequiredU.S. Citizen Only
Responsibilities
Lead teams of nurses and behavior health professionals responsible for care management
Oversee the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state
Guide members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members
Make decisions related to the implementation of new/updated programs or large-scale projects for the function
Support technical/operational procedures and processes
Implement strategic plans, drive goals and objectives, and improve performance
Provide input into functions strategy
Qualification
Required
Our Department of Defense contract requires U.S. Citizenship
Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Service)
HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico
Bachelor's degree
Ability to work 8 - 5 p.m. in the Eastern Time zone
Must have one of the following licenses - Active unrestricted RN license, LCSW, LMSW, Clinical Psychologist, Licensed Professional Counselor (LPC), Licensed Clinical Marriage and Family Therapist (LCMFT), and/or Licensed Mental Health Counselor (LMHC)
5 years of clinical RN or social work experience
An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, must have the experience and qualifications to obtain certification within the first year of hire. If your license if LPC, LCMFT or LMHC, you must already have your CCM certification
7 years of leadership experience in Government Contracts, Business Development, Management, Medical Management, and/or other relevant/related experience
3 years of experience working with a government contract (TRICARE or VA)
Ability to integrate and coordinate content from various sources to establish deliverables for multiple stakeholders and hold others accountable for delivering
Ability to synthesize information from a variety of resources to present or address an issue or to answer a question
Ability to apply the principles of independent logical thinking to define problems, collect data, establish facts, draw valid conclusions, and make strategic recommendations
Preferred
Graduate degree
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
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
Vice President Of Product
Recent News
2026-01-16
2026-01-16
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