Must have and be able to utilize knowledge of benefit plan design, care alternatives available within the community and nationally in order to support the delivery of appropriate, high quality, cost-effective health care and promotion for Humana Plan members. Provide patient entered, accessible, high quality, and effective health care while focusing on the identification and reduction of unnecessary services and performance measurement. Three to five years clinical experience, preferably in an acute clinical medical setting is required. Previous experience in utilization management, discharge planning and home health or rehab desired. Certified Case Manager or Certified Case Manager eligible within 3 years desired.
Salary is commensurate with qualifications and experience.
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