Care Management Support Asst

Humana; United States; Remote; USD 40,000 - 52,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k)

Job summary

Humana is seeking a Care Management Support Assistant 3 to provide non-clinical support for member assessment and resource coordination. You will guide families toward appropriate care options and interact with care resources to support wellbeing, within defined policies and with independent initiative.

The role emphasizes administrative execution, data handling, and collaboration with care teams while maintaining PHI/HIPAA compliance.

Qualifications

• At least 2 years of leadership experience.
• 1–3 years of technical experience with Microsoft Office tools.
• Healthcare administration experience with familiarity with care resources.
• Passionate about improving consumer experiences.

Responsibilities

• Provide non-clinical support to assessment of members' needs and resources.
• Manage inbound and outbound calls with members, families, and providers.
• Develop job aids and training on CMSA processes.
• Follow policies while prioritizing and organizing tasks.

Skills

Leadership

Healthcare administration

Bilingual (Spanish)

Education

Associate or Bachelor's Degree in Business or related field

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Microsoft Access

Job description

Become a part of our caring community

The Care Management Support Assistant 3 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Management Support Assistant 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment.

The Care Management Support Assistant 3 Decisions are typically focus on methods, tactics and processes for completing administrative tasks/projects. You will 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.

You will provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and wellbeing of members. You will be responsible for developing Job Aids and training on specific CMSA job processes.

You will manage inbound and outbound calls with members, their families, and providers.

You will perform computations, including data entry, in adherence to established metrics.

Decisions are typically focused on interpretation of area/department policy and methods for completing assignments.

You will work within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing.

You will follow standard policies/practices that allow for some opportunity for interpretation/ deviation and independent discretion.

Other duties as assigned by the Manager, Care Manager Support and Associate Director, Care Management Support depending on business needs.

Use your skills to make an impact

Required Qualifications

• At least 2 years of demonstrated leadership experience
• 1 - 3 years of technical experience with knowledge of Microsoft Office Word, Excel, Outlook
• Administration support experience in a healthcare industry with familiarity with care and well-being resources
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

• Reside in, or within a commutable distance to, Schaumburg office and the ability to travel to the Chicago downtown office as needed (2 to 3 days per week)
• Associate or Bachelor's Degree in Business or a related field
• Experience with Microsoft Access
• Familiarity with Medical terminology
• Previous experience working with Medicaid, Long Term Care (LTC), and/or Medicare members
• Bilingual (Spanish)

Work at Home Requirements:

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. 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

$40,000 - $52,300 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achiev