Humana · 5 hours ago
Manager, Care Management
Pekin, IL
Full-time
Hybrid
Mid, Senior Level
$86K/yr - $119K/yr
5+ years expHumana Inc. is dedicated to putting health first and is seeking a Manager of Care Management to lead a team of healthcare professionals. This role involves supervising care coordination activities, ensuring compliance with performance metrics, and collaborating with various departments to enhance operational efficiency.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
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 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
Qualification
Required
Applicants must reside in the state of Illinois within one of the following counties OR within a 30‑mile radius in a bordering county: Fulton, Knox, Marshall, Peoria, Stark, Tazewell, or Woodford
An active, unrestricted, Registered Nurse (RN) license, Licensed Clinical Social Worker (LCSW) OR Licensed Clinical Professional Counselor (LCPC) in the state of Illinois
Five (5) or more years of professional experience working in the health care industry and/or in care management
Two (2) or more years of leadership experience
Comprehensive knowledge of all Microsoft Office applications, specifically Word, Excel, and PowerPoint
Ability to use a variety of electronic information applications/software programs including electronic medical records
Proficiency in analyzing and interpreting data trends
This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB
Ability to travel throughout the state of Illinois
This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individuals must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher
Preferred
Advanced degree in nursing or business health field
Certified Case Manager (CCM)
Previous experience working in a managed care field
Five (5) or more years of previous management/supervisor level experience to include hiring, training, mentoring and coaching associates
Prior experience with healthcare quality measures STARS, HEDIS, etc. and/or clinical program monitoring/evaluation
Knowledge of community health and social service agencies and additional community resources
Bilingual or Multilingual: English/Spanish, Arabic, Vietnamese, Amharic, Urdu or other - Must be able to speak, read and write in both languages without limitations and assistance
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 (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
Emilie Fritsch
Senior User Interface Design Engineer
Recent News
Lane Report | Kentucky Business & Economic News
2026-02-06
2026-02-04
Company data provided by crunchbase