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Humana Market Clinical Manager - Your Home Advantage in Springfield, Missouri



The Your Home Advantage (YHA) Market Clinical Manager (MCM) will lead a team of Advanced Practice Provider (APP) Clinicians (ARNP and PA) responsible for member outreach with In-Home Wellness Assessments (IHWA). The Market Clinical Manager provides leadership, clinical management and administrative oversight in strategic and operational plans for a team of advanced practice providers. The Market Clinical Manager will manage APPs/Clinicians through training and performance evaluations and will drive high quality in clinical care and documentation performance in the market/region.

The MCM will apply strong clinical and management knowledge to coach and lead APP Clinicians to foster meaningful member/patient interaction.

The Manager is:

  • accountable for achievement of the organization's vision and goals in delivering clinical quality results in the member's End-to-End Experience;

  • responsible for the development, implementation and revision of policies, procedures and protocols, in collaboration with YHA/YHA Physician leadership to ensure compliance and attainment of organizational goals;

  • at the helm of assuring adherence to professional standards, accreditation and regulatory requirements impacting the organization

Required Qualifications

  • Registered Nurse, Physician Assistant or Advance Registered Nurse Practitioner Degree

  • Master's Degree

  • Active RN, PA or ARNP license

  • 5 or more years of clinical professional experience

  • 2 or more years of supervisory or management experience

  • Proficiency in analyzing and interpreting data trends

  • Progressive business consulting and/or operational leadership experience

  • Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint

  • Must have a separate room with a locked door that can be used as a home office to ensure you have absolute and continuous privacy while you work

  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

  • This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

  • This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits

Preferred Qualifications

  • Advanced degree in business health field

  • Clinical experience in home wellness, geriatrics

  • Knowledge of managed care

Additional Information

Monday-Friday 8AM-5PM CST/EST

Location : Combination of work at home, field visits and/or travel within the markets below.

Must reside in one of the following locations:

Market 1: NC/GA

Market 2: TN/VA

Market 3: FL/AR

Market 4: IA/KY/MO/NE/OH

Scheduled Weekly Hours