Care Manager, Telephonic Nurse Assistant - Humana
Columbia, SC
About the Job
Become a part of our caring community and help us put health first
The Care Manager, Telephonic Nurse Assistant 3, performs in a telephonic environment providing non-clinical support through clerical and administrative tasks through research, assessment and evaluation of members' needs and requirements to achieve and/or maintain wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Manager, Telephonic Nurse Assistant 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.
Humana Government Business government contract requires U.S. citizenship for this position.
The Care Manager, Telephonic Nurse Assistant 3 provides non-clinical telephonic support for member's physical, environmental and psycho-social health issues. Assist in evaluating members needs and connecting member to the clinical support needed. Decisions are typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.
Use your skills to make an impact
Required Qualifications
+ Our Department of Defense contract requires U.S. Citizenship for this role
+ Successfully receive approval for government security clearance (Via National Background Investigation Services NBIS)
+ 1 or more years of non-clinical care experience
+ 1 or more years of experience in handling high volume customer contacts in a courteous and professional manner
+ Above average written and verbal skills, including organizational abilities.
+ Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook
+ Strong technical skills with the ability to work across multiple software systems including email, chats, efficient typing skills, and toggling across multiple databases while engaging with callers
+ Must have excellent interpersonal skills and the ability to organize and prioritize simultaneous tasks appropriately
Required Work Schedule :
Training:
+ This position is scheduled to start on November 4, 2024. Virtual training starts on day one of employment and will run for the first 4-6 weeks with an 8-hour schedule between the hours of 8:00 AM to 6:00 PM Eastern, Monday - Friday.
Work Schedule Following Training:
+ Following training, associates are required to have flexibility to work an 8-hour shift between the hours of 8:00 AM to 6:00 PM Eastern, Monday - Friday.
+ This position requires learning many systems, policies, and tools, and it takes time to become proficient in the role. You must be willing to remain in this position for a period of twelve (12) months before applying to other Humana opportunities.
Preferred Qualifications
+ Experience with case management, discharge planning and patient education for adult acute care
+ Less than 2 years of leadership experience
+ Knowledge of Milliman or InterQual
+ Managed care experience
+ Certified Case Manager (CCM)
Work at Home Guidance
To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates 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.
+ 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.
+ Humana will provide Home or Hybrid Home/Office associates 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.
Additional Information
PLEASE MAKE SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT)
Interview Process
As part of our hiring process for this opportunity, we will be using 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.
+ Text Prescreen : Shortly after submitting your application, you may receive both a text message and email requesting you to complete 10 to 15 prescreen questions with either yes or no answers. The text message may arrive prior to the email. If you prefer to answer via computer or tablet, wait for the email.
+ Video Prescreen : If you are successful with your text screen, you will receive another communication to record a Video Prescreen. This is an online video activity using your phone, tablet, or computer; however, most candidates prefer using a computer or tablet.
+ Interviews : Some candidates will be invited to interview. If so, the recruiter will reach out to schedule.
+ Offers : Finalists from the interview will be contacted by a recruiter to discuss an offer for the job
+ Note : Depending on the number of openings, the number of candidates who apply, and the schedules of interviewers and recruiters, this process may take several weeks or less; however, know that we are working hard to proceed as quickly as possible and to keep you informed.
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.$37,200 - $51,200 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 personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
The Care Manager, Telephonic Nurse Assistant 3, performs in a telephonic environment providing non-clinical support through clerical and administrative tasks through research, assessment and evaluation of members' needs and requirements to achieve and/or maintain wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Manager, Telephonic Nurse Assistant 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.
Humana Government Business government contract requires U.S. citizenship for this position.
The Care Manager, Telephonic Nurse Assistant 3 provides non-clinical telephonic support for member's physical, environmental and psycho-social health issues. Assist in evaluating members needs and connecting member to the clinical support needed. Decisions are typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.
Use your skills to make an impact
Required Qualifications
+ Our Department of Defense contract requires U.S. Citizenship for this role
+ Successfully receive approval for government security clearance (Via National Background Investigation Services NBIS)
+ 1 or more years of non-clinical care experience
+ 1 or more years of experience in handling high volume customer contacts in a courteous and professional manner
+ Above average written and verbal skills, including organizational abilities.
+ Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook
+ Strong technical skills with the ability to work across multiple software systems including email, chats, efficient typing skills, and toggling across multiple databases while engaging with callers
+ Must have excellent interpersonal skills and the ability to organize and prioritize simultaneous tasks appropriately
Required Work Schedule :
Training:
+ This position is scheduled to start on November 4, 2024. Virtual training starts on day one of employment and will run for the first 4-6 weeks with an 8-hour schedule between the hours of 8:00 AM to 6:00 PM Eastern, Monday - Friday.
Work Schedule Following Training:
+ Following training, associates are required to have flexibility to work an 8-hour shift between the hours of 8:00 AM to 6:00 PM Eastern, Monday - Friday.
+ This position requires learning many systems, policies, and tools, and it takes time to become proficient in the role. You must be willing to remain in this position for a period of twelve (12) months before applying to other Humana opportunities.
Preferred Qualifications
+ Experience with case management, discharge planning and patient education for adult acute care
+ Less than 2 years of leadership experience
+ Knowledge of Milliman or InterQual
+ Managed care experience
+ Certified Case Manager (CCM)
Work at Home Guidance
To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates 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.
+ 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.
+ Humana will provide Home or Hybrid Home/Office associates 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.
Additional Information
PLEASE MAKE SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT)
Interview Process
As part of our hiring process for this opportunity, we will be using 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.
+ Text Prescreen : Shortly after submitting your application, you may receive both a text message and email requesting you to complete 10 to 15 prescreen questions with either yes or no answers. The text message may arrive prior to the email. If you prefer to answer via computer or tablet, wait for the email.
+ Video Prescreen : If you are successful with your text screen, you will receive another communication to record a Video Prescreen. This is an online video activity using your phone, tablet, or computer; however, most candidates prefer using a computer or tablet.
+ Interviews : Some candidates will be invited to interview. If so, the recruiter will reach out to schedule.
+ Offers : Finalists from the interview will be contacted by a recruiter to discuss an offer for the job
+ Note : Depending on the number of openings, the number of candidates who apply, and the schedules of interviewers and recruiters, this process may take several weeks or less; however, know that we are working hard to proceed as quickly as possible and to keep you informed.
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.$37,200 - $51,200 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 personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Source : Humana