Care Management Support Professional

Humana Inc

Northern (KY)

Hybrid

USD 45,000 - 61,000

Full time

5 days ago
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Benefits offered by this job

Medical benefits
Dental benefits
Vision benefits
401(k) plan
Paid time off

Job summary

Humana Inc. is seeking a Care Management Support Professional to assist members in overcoming barriers to improved health in a telephonic environment.

You will provide administrative and non-clinical support for assessments, coordinate services with nurse care managers and social workers, and document all interactions in the EMR. The role emphasizes empathetic, culturally sensitive, member-centered communication and collaboration with interdisciplinary teams to connect members with needed

Qualifications

  • 2 years of experience in healthcare, human services, social services, public health, or customer support.
  • Knowledge of Social Determinants of Health (SDOH) and community resources.
  • Ability to conduct telephonic assessments with empathy and professionalism.
  • Strong written and verbal communication skills.
  • Proficiency with Microsoft Office applications.

Responsibilities

  • Conduct telephonic, non-clinical assessments to identify SDOH needs and barriers.
  • Collect and document member information with professionalism and respect.
  • Research and coordinate community resources to support member health and wellbeing.
  • Provide education and care coordination to connect members with resources.
  • Guide members and families toward appropriate resources in a compassionate, culturally aware manner.
  • Document all interactions in the electronic medical record.

Skills

Empathy
Written and verbal communication
Telephonic assessments
Care coordination basics
Multitasking
Microsoft Office

Education

Bachelor's degree in Social Work, Human Services, Public Health, Psychology, Sociology, Health Administration, or a related field

Tools

Microsoft Office

Job description

Become a part of our caring community

Humana is looking for a Care Management Support Professional to support members in overcoming barriers to improved health and well-being in a telephonic environment. You will provide administrative and non-clinical support for the assessment and evaluation of member needs, facilitating appropriate care management interventions and services. As part of the care management team, the Care Management Support Professional contributes to the coordination and administration of member support activities in partnership with nurse care managers, social workers, and other interdisciplinary team members. This role is essential to helping members access needed resources and support their journey toward achieving or maintaining optimal wellness.

Responsibilities
  • Complete telephonic, non-clinical assessments with members to identify Social Determinants of Health (SDOH) needs. These needs include concerns related to transportation, food insecurity, housing, utilities, gaps in care, and other potential barriers to health and wellness.
  • Gather relevant member information in a professional and respectful manner, including member needs, concerns, current challenges, available supports, and potential barriers to accessing care or services.
  • Use knowledge of SDOH and community resources to identify, research, document, and coordinate appropriate services that support member health, safety, and overall well-being.
  • Provide education and care coordination to connect members with resources to meet their SDOH needs and close gaps in care.
  • Champion the member experience by guiding members and their families toward appropriate resources in a professional, empathetic, culturally sensitive, and member-centered manner.
  • You will document all interactions with members, providers, community resources, and members of the interdisciplinary care team within the electronic medical record.
  • Use your skills to make an impact
Required Qualifications
  • Bachelor's degree in Social Work, Human Services, Public Health, Psychology, Sociology, Health Administration, or a related field.
  • 2 years' experience working with members, patients, clients, or community populations in a healthcare, human services, social services, public health, or customer support setting.
  • Knowledge of Social Determinants of Health, community resources, and barriers that may impact access to care.
  • Effective written and verbal communication skills, including the ability to conduct telephonic assessments and engage members with empathy, professionalism, and respect.
  • Ability to manage multiple responsibilities efficiently, including answering inbound calls, initiating outbound calls through web-based systems, and navigating multiple platforms with accuracy and ease.
  • 2 years' experience with Microsoft Office applications.
Preferred Qualifications
  • Non-clinical case management experience supporting members who have co-occurring medical and behavioral health conditions and financial needs.
  • Familiarity with Medicare and Medicaid
  • Bilingual in Spanish or Creole preferred.
Additional Information

Work Style: Call Center Environment in a Work at Home location; MUST have wired cable or DSL connection directly to a modem. At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required.

Scheduled Hours

Hours for this position are Monday - Friday 9:00am-5:30pm EST.

Hours During Training: Hours for the first 2 weeks of training are Monday - Friday 8:30am-5:00pm EST.

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.

Pay Range

$45,400 - $61,300 per year

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.

  • 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
  • many other opportunities
Application Deadline

09-01-2026

About us

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 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.

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.

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