Remote Care Management Leader (RN/SW)

Humana; Elgin (IL); On-site; USD 86,300 - 118,700; Full time

Job summary

Humana is seeking a Manager, Care Management to lead a multidisciplinary team in Illinois, guiding care planning and resource coordination for Medicaid members. This role blends clinical leadership with program oversight to improve member outcomes and reduce disparities.

The position is remote with significant field-based travel (50–75%), requiring strong data analysis and collaboration with community partners. Travel and compliance with Humana policies are essential.

Qualifications

• Active RN or SW license is required.
• Minimum of an Associate's Degree.
• 5+ years of professional experience and 2+ years of management experience.
• Proficiency in analyzing and interpreting data trends.
• Knowledge of Medicaid/Medicare and long-term care guidelines.

Responsibilities

• Lead and manage care management teams to oversee Medicaid member wellness.
• Oversee assessment and evaluation of members' needs for optimal care.
• Collaborate with community partners and internal teams to integrate non-clinical support.
• Ensure compliance with federal, state, and contractual requirements.
• Monitor program performance and drive continuous improvement.

Skills

RN license

Social Work license

Data analysis

Communication

Team leadership

Education

Associate's Degree

Bachelor's degree or advanced degree in nursing or business health field

Tools

Microsoft Windows

Excel

Job description

Humana is seeking a Manager, Care Management to lead a multidisciplinary team in Illinois, guiding care planning and resource coordination for Medicaid members. This role blends clinical leadership with program oversight to improve member outcomes and reduce disparities.

The position is remote with significant field-based travel (50–75%), requiring strong data analysis and collaboration with community partners. Travel and compliance with Humana policies are essential.