Director, Care Management

Job description

Become a part of our caring community The Director, Care Management, will provide oversight to ensure the company’s Long-Term Supports and Services (LTSS) care management and contractual performance objectives are met for the Michigan Medicaid program. They will ensure the program and resources are used effectively and successfully to execute short and long-term population health goals. Use your skills to make an impact - Lead, develop, and operationalize LTSS care management/coordination within Humana's population health strategy, education, utilization management, and quality improvement activities for the clinical team. - Develop, implement, measure, analyze, and report on LTSS programs and initiatives designed to improve the health and quality of life of our Enrollees. - Ensure best practice standards and the National Committee of Quality Assurance (NCQA) Care Management criteria are used to assist with developing the documentation tools to create impactful Enrollee outcomes. - Responsible for the planning, directing, and successful management of the LTSS Clinical Strategy for The Michigan Department of Health and Human Services (MDHHS). - Ensure application of person-centered...