Care Management Support Assistant

Humana Healthy Horizons in Ohio is seeking a Care Management Support Assistant 2 that contributes to the administration of care management and provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state. The Care Management Support Assistant 2 guides members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Management Support Assistant 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Typically works on semi-routine assignments.

Responsibilities

The Care Management Support Assistant 2 will provide CM support by managing shared mailboxes and entering data into CM work queues, mailing letters/educational material, researching unable to contact members and will complete other administrative functions, as assigned.

• The Care Management Support Assistant 2 decisions typically focus on interpretation of area/department policy and methods for completing assignments.
• Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction.
• Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

Required Qualifications

• Must reside in Ohio

• Minimum 2 years Administration support experience within the healthcare industry

• Minimum 1 year intermediate or better working knowledge using Microsoft Office Programs specifically Teams, Excel, PowerPoint, Outlook and Word, systems, platforms, and an ability to troubleshoot and resolve general technical difficulties

• Decision making skills regarding own work approach/priorities, and work assignments, standards and resources

• Ability to multi-task and work in a very fast-paced environment

• Strong written & verbal communication skills.

• Familiarity with care and well-being resources

• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

• Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

Preferred Qualifications:

• Associate's Degree
• Previous experience with electronic case note documentation and experience with documenting in multiple computer applications/systems
• Bilingual (Spanish, Somali or other)

Additional Requirements

Workstyle: Remote work at home

Location: Must reside in Ohio

Hours: Must be able to work a 40 hour work week, Monday through Friday 8:00 AM to 5:00 PM Eastern Time, over-time may be requested to meet business needs.

Travel: 5-10% occasional travel to office for staff meetings, training, etc.

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

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, 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 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40