Manager, Care Management

Join Humana as a Manager, Care Management in Downey, Lake County, leading a dynamic, multidisciplinary team dedicated to improving health outcomes for Medicaid members across Illinois. This is a full-time position based in Downey.

About the Role

As Manager, Care Management, you'll oversee care coordination and member advocacy for a diverse population, directing nurses, social workers, behavioral health professionals, and support staff. You'll combine operational leadership with a deep commitment to equitable, person-centered care in Humana's Illinois Medicaid market.

What You'll Do

• Lead and develop a care management team while fostering a collaborative environment grounded in clinical best practices
• Ensure adherence to clinical guidelines, regulatory requirements, and departmental procedures across all care management activities
• Apply advanced technical and clinical knowledge to address complex care scenarios and member needs
• Oversee member enrollment, care planning, and coordination of services for Medicaid populations
• Monitor team performance, member satisfaction, and program quality metrics
• Partner with internal departments and external providers to optimize member health outcomes and cost-effective care delivery

What We're Looking For

• Proven leadership experience managing multidisciplinary healthcare teams
• Deep knowledge of Medicaid, care coordination models, and healthcare operations
• Strong clinical or healthcare administration background
• Excellent communication and problem-solving skills in a regulated environment
• Commitment to advancing health equity and member-centered care

About Humana

Humana is a leading health and well-being company serving millions of members across the United States. We are committed to creating a healthier tomorrow by improving access to quality care and supporting the communities we serve.

How to Apply

Apply through this listing to be considered for the Manager, Care Management position based in Downey, Lake County.