Director, Care Management Rn

Become a part of our caring community and help us put health first.

The Director, Care Management leads teams of nurses and behavior health professionals responsible for Care Management. The Director, Care Management requires an in-depth understanding of how organization capabilities interrelate across the function or segment.

The Director, Care Management oversees the assessment and evaluation of members’ needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance. Provides input into functions strategy.

Use your skills to make an impact.

Required Qualifications

• Our Department of Defense contract requires U.S. Citizenship
• Successfully receive interim approval for government security clearance (eQIP – Electronic Questionnaire for Investigation Processing)
• HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico.
• Bachelor's degree
• Active unrestricted RN license
• 5 years of clinical RN experience
• An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, must have the experience and qualifications to obtain certification within the first year of hire.
• 7 years of leadership experience in Government Contracts, Business Development, Management, Medical Management, and/or other relevant/related experience
• 3 years of experience working with a government contract (TRICARE or VA)
• Ability to integrate and coordinate content from various sources to establish deliverables for multiple stakeholders and hold others accountable for delivering.
• Ability to synthesize information from a variety of resources to present or address an issue or to answer a question.
• Ability to apply the principles of independent logical thinking to define problems, collect data, establish facts, draw valid conclusions, and make strategic recommendations.
• Excellent written and verbal communication skills at multiple levels

Preferred Qualifications

• Graduate degree

Scheduled Weekly Hours: 40

(R-327973/JennyB)

Job Type: Full-time

Pay: $150,000.00 - $155,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Application Question(s):

• Have you ever worked for Humana, CenterWell, or Enclara? Yes or No

Education:

• Bachelor's (Required)

Experience:

• Leadership in Government Contracts: 7 years (Required)
• TRICARE Contracts (Preferably Military): 3 years (Required)

License/Certification:

• Active RN License (Required)

Work Location: Remote