Care Management Support Professional
HumanaAbout the role
Become a part of our caring community and help us put health first
Are you passionate about helping people and skilled at networking and coordination? Are you familiar with social determinants of health and community services that help to fulfill basic needs? We are seeking a Care Management Support Professional to assist members in overcoming barriers to achieving optimal health and wellness. This administrative professional provides non-clinical support to the assessment and evaluation of members' needs and requirements. This is a remote, telephonic opportunity and benefits start from day 1!
Humana Care Support strives to assist in meeting members' needs and requirements so they can achieve and/or maintain an optimal wellness state. The Care Management Support Professional contributes to administration of care management in coordination with the RNs and Social Workers on this team. Work assignments are often straightforward and of moderate complexity. Responsibilities include:
Using knowledge of social determinants of health (SDOH) to identify, research, document and coordinate services and resources to support member health and well-being.
Guiding members and their families towards resources appropriate for their care and wellbeing.
Serve as a key knowledge source for community services and information for member and other Humana associates.
Providing education, contact information, and assistance in contacting basic resources such as transportation, food and housing.
Work collaboratively with other Humana associates as a member of Humana’s Care Management Support team.
Use your skills to make an impact
Required Qualifications
Bachelor's degree (Healthcare related or business field preferred)
1- 3 years of Microsoft technical experience in Word, Excel, Outlook and an ability to troubleshoot and resolve general technical difficulties.
Ability to learn new systems and work in multiple platforms.
Knowledge of and ability to navigate community and/or healthcare resources.
Experience working with people who have SDOH challenges.
Exceptional communication & interpersonal skills with ability to build rapport with internal and external members and stakeholders over the telephone.
Strong written communication skills.
Ability to multi-task and work in a fast-paced environment
Demonstrated understanding and respect of all cultures and demographic diversity.
Preferred Qualifications
Experience providing community resources for basic and healthcare needs.
Experience working with members/patients with medical and mental health co-morbidities.
Experience advocating for managed care members at all levels of care.
Non-clinical Case Management experience.
Additional Information:
Workstyle: Remote, work at home. Must work hours within the Eastern or Central Standard Time Zone within the United States.
Travel:
Core Workdays & Hours: Typically, Monday – Friday 8:00am – 5:00pm Eastern Standard Time (EST).
Work at Home Requirements
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.
Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
Associates 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.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Interview Format
As part of our hiring process, we will be using an interviewing technology provided by Hire Vue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minute
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