Humana

Care Manager – Telephonic Nurse Assistant

Humana

full-time

Posted on:

Origin:  • 🇺🇸 United States

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Salary

💰 $40,000 - $52,300 per year

Job Level

JuniorMid-Level

About the role

  • Provide non-clinical support to assessment and evaluation of members' needs to achieve/maintain optimal wellness
  • Guide members/families toward and facilitate interaction with appropriate resources for care and wellbeing
  • Work as part of an After Care Follow Up team to connect beneficiaries to behavioral health providers
  • Engage in outgoing telephonic communications to establish appointments for beneficiary engagement (60% of role)
  • Assist with inbound/outbound telephone calls, provide general program information and route callers as needed
  • Enter appropriate information into Care Management applications and other required systems; research providers and provide appointing support
  • Print and process letters, welcome packets and educational mailings; perform mail functions including receiving, sorting, distributing, researching returned mail (20% of role)
  • Perform administrative tasks: schedule meetings, scribe/distribute meeting minutes, maintain office files and educational materials (10% of role)
  • Assist manager and supervisors as needed and perform other duties as assigned (10% of role)

Requirements

  • 2 or more years of customer care experience including outbound call experience
  • Must be able to work an 8-hour shift Mon-Fri between the hours of 9 a.m. to 6 p.m. EST
  • Knowledge and experience with medical terminology
  • Proficiency in Microsoft Office programs (Word, Excel, Outlook)
  • U.S. Citizenship required (Department of Defense contract)
  • Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services)
  • HGB is not authorized to do work in Puerto Rico; cannot hire candidates currently living in Puerto Rico
  • Ability to work from a dedicated space protecting member PHI / HIPAA information
  • Minimum internet recommendation for Hybrid Office/Home associates: download 25 Mbps and upload 10 Mbps
  • Preferred: Knowledge of behavioral health terminology
  • Preferred: Administration support experience in the healthcare industry
  • Preferred: Prior experience in retail, sales or marketing
  • Preferred: Bilingual fluent in Spanish/English
  • Preferred: Experience with TRICARE contracts and/or the military health care delivery system
  • Preferred: Knowledge of TRICARE policies and benefits
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