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Manager, Care Management

Humana

Location: Tampa, FL 33603
Type: Non-Remote
Posted on: January 8, 2021
This job is no longer available from the source.
**Description** At Conviva Care Solutions, we want to inspire people to live life their best healthy life. Conviva Care Solutions is a management services organization representing nearly 300 physician practices, 800 clinicians, and 300,000 patients across the states of Florida and Texas. We need people with a passion for helping others and making change happen. We don't want to be like everyone else in the industry-we want to be better. And we're looking for talent that wants to grow, be challenged and inspired to help make that happen. **Responsibilities** Conviva Care Solutions is seeking a hard-working and dedicated Manager, Care Management who may lead and supervise a clinical and non-clinical team of nurses and who is interested in being part of a team that focuses on excellent service to others. **Job Functions:** + Leads the care coordination team in the market + Assist with hiring, training, coaching, developing a highly functioning clinical team in the market + Monitor workflows, business trends, outcomes and metrics. + Works collaboratively with the Market Vice President to help set strategy and tactics for the market care coordination + Works closely with the market physician team + 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. **Education:** + Valid/current RN License + BSN or Bachelor's degree in a related field **Qualifications/Requirements:** + Minimum of 3 years prior clinical leadership experience + Possess ability to communicate well both telephonic and face to face + Ability to travel to orient new associates onsite + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare/Medicaid Experience a plus + Previous experience in Front End Review, SNF, LTAC, DME or Home Health. + 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 <>
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