Care Management Support Assistant 2

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
 

Required Qualifications

• 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

Preferred Qualifications

• Military health care service experience or working knowledge of TRICARE entitlement program

• Bachelor's degree

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

• 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

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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.

 

$39,000 - $49,400 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.

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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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.