The Primary Care Organization (PCO), a divisional subsidiary of Humana Inc., consists of Primary Care Clinics branded as CenterWell and Conviva. The older adult focused primary care clinics are located in multiple states including: FL, KS/MO, GA, SC/NC, Houston/LA, TX. The Primary Care Organization has a strong emphasis on older adult-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary care combined with an excellent patient experience. CenterWell and Conviva has experience in both the treatment and management of most chronic and acute-care conditions. The practices also provide health education and value-added, well-being services at the centers and around their neighborhoods to help both patients and community members improve their health.

At CenterWell and Conviva Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.

Responsibilities

The Manager, Care Management oversees a team of Supervisors, RN Care Coaches, Behavioral Health staff and Care Coordinators responsible for care coordination programs. The Manager, Care Management ensures the assessment and evaluation of members' needs are contributing to the care and wellbeing of established care plans. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving assigned market area. Conducts and participates in the interviewing/onboarding of new associates. Requires cross departmental collaboration, and conducts briefings and area meetings; maintains frequent contact with other managers across the department.

• Visits to Conviva market clinics will be require

Required Qualifications

• Active Registered Nurse (RN) license or Bachelor’s Degree in Social Work (BSW)

• Minimum of 5 years experience working as an RN or Social Worker
• Minimum of 3 years of management experience
• Proficiency in analyzing and interpreting data trends.
• Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
• Progressive business consulting and/or operational leadership experience
• Ability to visit established local market clinics based on business needs

Preferred Qualifications

• Bachelor's degree or advanced degree in nursing or business health field
• Clinical Social Work License (LCSW) or Licensed Master Social Work (LMSW)
• Previous experience overseeing multiple clinic locations
• Previous experience working in a managed care field
• Experience working in home health/home care settings
• Bilingual English/Spanish

Additional Information

For this job, associates are required to be fully COVID vaccinated or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.

If progressed to offer, you will be required to:

• Provide proof of full vaccination or commit to testing protocols OR
• Provide proof of applicable exemption including any required supporting documentation

Medical, religious, state and remote-only work exemptions are available

Scheduled Weekly Hours

40