The posting
Become a part of our caring community
Become part of Humana’s caring community and help us put health first. The Manager, Care Management is responsible for leading a team of care managers who support members with transitional needs, chronic conditions, and barriers that may impact health, independence, and well-being. This role provides operational leadership for telephonic, member-centered care management activities, including coordinated follow-up, resource connection, and support aligned to member needs and business priorities.
This remote role offers the opportunity to lead within an organization focused on improving quality of care, access to resources, member experience, associate engagement, and operational performance. The manager is expected to develop talent, reinforce accountability, promote associate engagement, and support alignment to Humana’s broader care management objectives.
The Manager, Care Management is accountable for coaching, developing, and managing associates to achieve established performance, quality, productivity, compliance, documentation, and member-focused outcomes. This leader is expected to apply sound judgment, use data to identify trends and risks, and support continuous improvement in a dynamic care management environment.
Key Responsibilities:
- Provide day-to-day leadership, direction, coaching, and development for assigned care management associates.
- Establish clear expectations, monitor performance, deliver timely feedback, and document performance-related conversations in alignment with business and human resources processes.
- Manage associate performance against established quality, productivity, compliance, documentation, attendance, behavior, and member outcome expectations.
- Conduct regular one-on-one meetings, team meetings, call reviews, case reviews, and development discussions to support associate performance and growth.
- Promote an engaged and inclusive team environment through clear communication, recognition, collaboration, and support for professional development.
- Serve as an escalation resource for complex member, associate, operational, or process-related issues that require manager review or intervention.
- Support associates through process changes, operational updates, system enhancements, structured schedules, and shifting business priorities.
- Review performance, productivity, quality, audit, documentation, associate feedback, and member outcome trends to identify risks, barriers, coaching needs, and process improvement opportunities.
- Use data and operational insights to recommend actions that improve workflows, strengthen outcomes, and support business objectives.
- Communicate effectively with associates, peers, senior leaders, quality partners, workforce partners, and cross-functional stakeholders regarding team performance, operational needs, risks, escalations, and opportunities.
- Support audit readiness by ensuring associates adhere to applicable policies, procedures, documentation standards, privacy requirements, and quality expectations.
- Address performance, attendance, behavior, quality, and compliance concerns timely and appropriately, using available leader, human resources, and policy resources as needed.
- Encourage associate feedback, issue identification, and solution-oriented recommendations that support improved member, associate, and business outcomes.
- Model Humana’s values through professional behavior, sound decision-making, accountability, and commitment to member and associate success.
- Support onboarding, training, mentoring, and ongoing education for new and existing telephonic care management associates.
Use your skills to make an impact
Role Essentials
- Active, unrestricted Registered Nurse license with no disciplinary action
- 5 or more years of case management experience
- 2 years of direct or indirect leadership experience
- Demonstrated ability to articulate ideas effectively in both written and oral forms
- Ability to analyze performance, productivity, quality, audit, documentation, and operational data; identify trends and risks; and implement action plans.
- Demonstrated ability to support change management, process improvement, workflow updates, and operational initiatives with flexibility and professionalism.
- Comprehensive knowledge of all Microsoft Office applications, including Word, Excel, PowerPoint and Teams.
Role Desirables
- Bachelor’s or Master’s degree in nursing, healthcare administration, business, or a related field.
- 3 or more years of previous management/supervisor level experience
- Demonstrated ability to lead, coach, motivate, and hold associates accountable.
- Previous experience working in a managed care field
Additional Information
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Must have a separate room with a locked door that can be used as a home office to ensure you have absolute and continuous privacy while you work
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Florida Background Screening Requirements: Notice for candidates applying to this position from a Florida work location, including Florida home-based work location. This position is subject to Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse. For information about the screening process and requirements, visit: https://info.flclearinghouse.com.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$86,300 - $118,700 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 10-29-2026
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
