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Care Management Support Assistant

Humana
Work at Home - South Carolina, United States, United Statesfull_timeVerifiedPosted 5 Mar 2025
💰 $49,400/yr($39,000/yr$49,400/yr)

About the role

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

Humana is seeking a Care Management Support Assistant (CMSA) who will contribute to the administration of the care management and utilization management teams. The CMSA provides non-clinical support for the assessment and evaluation of members' needs and requirements to achieve and/or maintain an optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members.

The Care Management Support Assistant decisions are typically focused on the interpretation of area/departmental policy and methods for completing assignments.

  • Conducts initial outreach to members to complete Health Risk Assessments.

  • Identifies members’ needs and determines level of intervention necessary to meet needs.

  • Assists members with resources to address immediate needs and refers to care management team for ongoing support.

  • Monitors Care Management email box and voicemails.

  • Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction.

  • Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.


Use your skills to make an impact
 

Required Qualifications

  • One (1) years of administrative support experience working in the clinical/healthcare industry.

  • Two (2) years of data entry experience.

  • Proficient with MS Office, utilizing multiple shared systems, platforms, and being able to troubleshoot and resolve general technical issues.

  • Proven verbal and written communication skills.

Preferred Qualifications

  • Associate degree.

  • Certified Medical Assistant.

  • Behavioral Health experience.

Additional Information

  • Workstyle: Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.  

  • Work Location: Preferred South Carolina residency.

  • Schedule: Monday – Friday, 8:00 am – 5:00 pm Eastern Standard Time (EST).

Work-At-Home Internet Requirements

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 recommended; 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.

  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

HireVue

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Benefits

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:

  • Health benefits effective day 1
  • Paid time off, holidays, volunteer time and jury duty pay
  • Recognition pay
  • 401(k) retirement savings plan with employer match
  • Tuition assistance
  • Scholarships for eligible dependents
  • Parental and caregiver leave
  • Employee charity matching program
  • Network Resource Groups (NRGs)
  • Career development opportunities

Scheduled W

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Company

Humana

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