Lead teams of nurses and health professionals responsible for maternal and child services care management.
Ensure timely and culturally competent delivery of care, services, and supports in compliance with the Virginia Department of Medical Assistance Services (DMAS) contractual requirements and industry best practices.
Supervise care management personnel and oversee all care management functions, including assessment, care planning, and care coordination.
Collaborate with internal departments, providers, and community partners to support the delivery of high-quality case management services.
Monitor and maintain staffing levels to meet care and service quality objectives.
Conduct timely evaluations of direct reports and provide regular opportunities for professional development.
Collect and analyze performance reports on care management functions to monitor adherence with benchmarks and identify opportunities for process improvement.

Must reside in the Commonwealth of Virginia
Active RN license in the Commonwealth of Virginia, with no disciplinary action OR , LCSW, MSW, BSW, LSW, LPC
Minimum three (3) years of experience working in the Maternal-Child health field.
Minimum two (2) years of management/supervisory experience.
Experience serving Medicaid, Medicaid/Medicare, TANF, and/or CHIP populations.
Experience in case management.
Proficiency in analyzing and interpreting data trends.
Progressive operational leadership experience.
Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint.
Ability to travel to region-based facilities and homes for face-to-face assessments and interactions with members and/or families.
This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program.

medical, dental and vision benefits
401(k) retirement savings plan
time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
short-term and long-term disability
life insurance and many other opportunities

Manager, Care Management – Maternal-Child Health

Key skills