✨ About The Role
- The Director, Care Management of Long-Term Services and Supports (LTSS) will lead teams of nurses and behavior health professionals responsible for care management
- Responsible for ensuring the company’s Long‐Term Services and Supports (LTSS) Care Management and Contractual performance objectives are met for the Virginia Cardinal Care Medicaid program
- Develops, implements, measures, analyzes, and reports on LTSS programs and initiatives designed to improve the health and quality of life of members
- Provides oversight to ensure the program and resources are used effectively to execute short and long‐term population health goals
- Collaborates with other Humana leadership to identify the clinical tools and systems to support LTSS Care Management activities
⚡ Requirements
- Must have a Bachelor's degree and an active unrestricted Registered Nurse (RN) license in Virginia
- Requires a combination of eight or more years of care management and care coordination experience
- Should have at least two years of experience working in the LTSS industry
- Must have five years of leadership experience leading large teams with proven success
- Proficiency in analyzing and interpreting clinical and utilization trends is essential