Manager, Care Management (Bilingual - English, Spanish) - Miami Dade County, FL

Humana Inc. Hialeah , FL 33002

Posted 2 weeks ago

Description

The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals.

Responsibilities

The Manager, Care Management oversees the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members.

  • Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area.

  • Requires cross departmental collaboration, and conducts briefings and area meetings; maintains frequent contact with other managers across the department.

  • This role requires travel within Miami Dade County, FL.

Required Qualifications

The Manager, Care Management shall meet one of the following qualifications:

  • Master's Degree in human services, social sciences, or health related field with at least 2 years of case management experience with at least 1 year focused on elderly or disabled population.

  • Bachelor's Degree in a health related field with at least 5 years of case management experience with at least 1 year focused on the elderly or disabled population.

  • 9 years of professional human service experience with a minimum of 5 years of case management experience with at least 1 year focused on the elderly or disabled population.

The Manager, Care Management shall meet all of the following qualifications:

  • Bilingual
  • English, Spanish

  • Must be able to speak, read and write in both languages without limitations or assistance.

  • If an LPN or RN must have an active RN or LPN license in the state of Florida without restrictions .

  • This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.

  • Must have a separate room with a locked door that can be used as a home office to ensure you and your patients have absolute and continuous privacy while you work.

  • Must have accessibility to high speed DSL or Cable modem for a home office (No Satellite).

  • Intermediate to advanced computer skills and experience with Microsoft Word, Excel and Outlook.

  • This role is considered patient facing and is a part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

  • AHCA Fingerprint Required.

Preferred Qualifications

  • Previous leadership experience.

  • BSN or Bachelor's degree in a related field.

  • Health Plan experience.

  • Previous Medicare/Medicaid experience.

  • Call center or triage experience.

  • Previous experience in utilization management, discharge planning and/or home health or rehab.

  • Prior nursing home diversion or long term care case management experience.

  • Experience with health promotion, coaching and wellness.

  • Experience working with the geriatric population.

Additional Information

As part of our hiring process, we will be using an exciting interviewing technology provided by Montage, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours
40


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Warehouse Worker Amtrak Miami

Aramark Corporation

Posted 4 days ago

VIEW JOBS 3/23/2019 12:00:00 AM 2019-06-21T00:00 Overview: About Aramark Aramark (NYSE: ARMK) proudly serves Fortune 500 companies, world champion sports teams, state-of-the-art healthcare providers, the world's leading educational institutions, iconic destinations and cultural attractions, and numerous municipalities in 19 countries around the world. Our 270,000 team members deliver experiences that enrich and nourish millions of lives every day through innovative services in food, facilities management and uniforms. We operate our business with social responsibility, focusing on initiatives that support our diverse workforce, advance consumer health and wellness, protect our environment, and strengthen our communities. Aramark is recognized as one of the World's Most Admired Companies by FORTUNE, as well as an employer of choice by the Human Rights Campaign and DiversityInc. Learn more at www.aramark.com or connect with us on Facebook and Twitter. Description: Position Summary: The Warehouse Worker is responsible for receiving and processing incoming stock/product, preparing and completing orders for delivery or pickup, and performing inventory and quality control Essential functions and responsibilities of the position may vary by Aramark location based on client requirements and business needs. Essential Functions: * Performs transfers or products and/or merchandise to and from the warehouse * Responsible for receiving products and merchandise, checking for quality and damages to items, and the proper storage of the delivered products and merchandise * Responsible for operating equipment such as forklifts, pallet jacks, etc. * Perform physical inventory as needed * Processes requests for supplies, prepares merchandise for delivery, and prepares packages for shipping according to established procedures * Ensures security of company assets * Other duties and tasks as assigned by manager Qualifications: * Previous warehouse experience preferred * Must be able to follow basic safety procedures and precautions due to physical risks * Demonstrates interpersonal and communication skills, both written and verbal * Basic math and counting skills required * Requires frequent lifting, carrying, pushing, pulling up to 50 lbs * Must be available to work flexible hours including evenings and weekends Aramark is an EQUAL EMPLOYMENT OPPORTUNITY/AFFIRMATIVE ACTION employer – Minority/Female/Disability/Veteran Aramark Corporation Hialeah FL

Manager, Care Management (Bilingual - English, Spanish) - Miami Dade County, FL

Humana Inc.