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

The Utilization Management Certified Occupational Therapy Assistant 1 (UM COTA) uses skills to support the coordination, documentation and communication of long-term ser vices and supports and/or benefit administration determinations. The UM COTA work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

• Provide support for the policies and procedures ensuring best and most appropriate treatment, long term services and supports authorizations with a focus on home modifications, vehicle modifications and durable medical equipment/assistive & adaptive equipment.   
• Make decisions on moderately complex to complex issues.
• Follow established guidelines/procedures.

Use your skills to make an impact
 

Required Qualifications

• Must reside in the state of Michigan
• Associate’s Degree in Occupational Therapy with current licensure as Occupational Therapy Assistant in the state of Michigan. 
• At least 2 years working in Occupational Therapy.
• Experience working with Medicaid and/or Medicare Plans.
• Experience working with vulnerable populations and the assessment and provision of LTSS.
• Ability to manage multiple or competing priorities in a fast-paced environment.
• Ability to work independently under general instructions and with a team.
• Excellent written and verbal communication skills.
• Comprehensive knowledge of Microsoft Word, Outlook and Excel.
• 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.

PREFERRED QUALIFICATIONS:

• Health Plan experience.
• Previous experience in discharge planning and/or home health or rehabilitation.
• Bilingual preferred (Spanish, Arabic, Chaldean Neo-Aramaic or other).

ADDITIONAL INFORMATION:

• Workstyle: This is a remote position.
• Travel: There will be travel if the member is receiving in-home care; travel will be in Wayne and Macomb counties; Travel will be a combination of daily to monthly. 
• Workdays and Hours: Monday – Friday; 8:00am – 5:00pm Eastern Standard Time (EST).
• Language Assessment Statement: Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.

WAH INTERNET STATEMENT:

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
• Must work from a dedicated space that is lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$48,900 - $66,200 per year

 

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and pers