Clinical Market Leader Care Management

Profile

Description

Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole.

Responsibilities

Conviva Care Solutions is seeking a hard-working and dedicated Clinical Market Leader who is interested in being part of a team that focuses on excellent service to others.The Manager, Care Management may lead and supervise a clinical and non-clinical team of nurses in the Tampa, FL region.

Job Functions

Works collaboratively with the Market Vice President to help set strategy and tactics for the market care coordination

Monitor workflows, business trends, outcomes and metrics.

Hires, trains, coaches and develops a highly functioning clinical team in the market

Sets clinical strategies and tactics for the care coordination team in the market

Works closely with the market physician team to help make decisions for our patients

Collaborate with health care professionals in reviewing actual and proposed medical care and services with a goal of improving member's lifelong wellbeing while achieving organization's goals.

Qualifications/Requirements

Valid/current RN License

BSN or Bachelor's degree in a related field

Minimum of 3 years prior clinical leadership experience

Previous experience in the area of care coordination and experience with care facilitation a plus

Possess ability to communicate well both telephonic and face to face

Ability to travel to orient new associates onsite

Previous Medicare Advantage/Medicare/Medicaid Experience a plus

English and Spanish bilingual preferred

Conviva offers tangible and intangible benefits such as medical, dental and vision benefits, 401k, tuition reimbursement, vacation, paid holidays, work-life balance, growth, a positive and fun culture and much more.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com