Care Management Support Assistant 2

Humana • Carapichaima, NE

1d • $39,000 - $49,400 • Remote

About The Position

Become a part of our caring community and help us put health first You will report to a Supervisor of Care Management Support. Key Accountabilities - You will recognize ACD specific assessments/treatment plans and pend referrals and authorizations for review. You will coordinate authorizations with Autism Services Navigators and Utilization Management. Answers questions from associates and MTF/ civilian providers to obtain additional information that may complete referrals. You will answer inbound calls on the TRICARE Autism Care Demonstration utilizing available resources. Educates beneficiaries and providers regarding the TRICARE ACD program. Use your skills to make an impact

Requirements

• Our Department of Defense contract requires U.S. Citizenship
• Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Services)
• HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico.
• Must be able to work a shift of 10:30 a.m. - 7 p.m. E.T. to help handle internal phone queue
• Medical terminology experience and/or UM/Coding Experience
• 3 years experience in customer service or referral management position (handling high volume of work with a deadline)
• 3 years of experience in healthcare/medical or health insurance field
• 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
• 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
• While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Nice To Haves

• Military health care service experience or working knowledge of TRICARE entitlement program
• Bachelor's degree
• Satellite, cellular and microwave connection can be used only if approved by leadership

Responsibilities

• Recognize ACD specific assessments/treatment plans and pend referrals and authorizations for review
• Coordinate authorizations with Autism Services Navigators and Utilization Management
• Answer questions from associates and MTF/ civilian providers to obtain additional information that may complete referrals
• Answer inbound calls on the TRICARE Autism Care Demonstration utilizing available resources
• Educate beneficiaries and providers regarding the TRICARE ACD program

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level