Care Manager Telephonic Nurse Assistant

Humana Inc; Dover (DE); Remote; USD 40,000 - 53,000; Full time

Job summary

A leading healthcare company is seeking a Care Manager, Telephonic Nurse Assistant 3 (Behavioral Health) to provide support and guidance to members through telephonic care management. The ideal candidate should have prior customer care experience and be proficient in Microsoft Office. This remote position requires strong knowledge of medical terminology and the ability to work flexible hours. Competitive salary and benefits offered.

Benefits

Medical, dental and vision benefits

401(k) retirement savings plan

Paid parental and caregiver leave

Qualifications

• 2 or more years of customer care experience including outbound call experience.
• Must be able to work an 8-hour shift Mon-Fri between 9 a.m. to 6 p.m. EST.
• Knowledge and experience with medical terminology.

Responsibilities

• Engage in telephonic communications for Care Management programs.
• Print and process letters and educational mailings.
• Perform administrative tasks such as scheduling meetings.

Skills

Customer care experience

Outbound call experience

Knowledge of medical terminology

Proficiency in Microsoft Office (Word, Excel, Outlook)

Bilingual in Spanish/English

Education

High School Diploma or Equivalent

Job description

Become a part of our caring community and help us put health first

The Care Manager, Telephonic Nurse Assistant 3 (Behavioral Health) 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. May apply intermediate mathematical skills.

The Care Manager, Telephonic Nurse Assistant 3 (Behavioral Health), in a telephonic environment, assesses and evaluates 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 Assistant will work as part of an After Care Follow Up team to assist beneficiaries who are in need of connection to appropriate behavioral health providers.

Key Accountabilities

• 60% - Engage in outgoing telephonic communications for Care Management programs in order to establish appointments for beneficiary engagement. Assists with inbound/outbound telephone calls by providing general program information and routing the caller to the appropriate personnel as needed. Enter appropriate information into the Care Management applications and other required applicable systems. Research available providers and provide appointing support.
• 20% - Print and process letters, welcome packets and educational mailings for all of HGB Care Management. Perform all mail functions including receiving, sorting, distributing income/outgoing mail, and researching returned mail.
• 10% - Perform administrative tasks such as schedule meetings, scribe/distribute meeting minutes, and other duties as assigned. Maintain office files and all educational materials for care management programs.
• 10% - Assist manager and supervisors as needed.

Required Qualifications

• 2 or more years of customer care experience including outbound call experience
• Must be able to work an 8-hour shift Mon-Fri between the hours of 9 a.m. to 6 p.m. EST
• Knowledge and experience with medical terminology
• Proficiency in Microsoft Office programs specifically; Word, Excel and Outlook.
• 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.

Preferred Qualifications

• Knowledge of behavioral health terminology
• Administration support experience in the healthcare industry
• Prior experience in retail, sales or marketing
• Bilingual Fluent in Spanish/English
• Experience with TRICARE contracts and/or the military health care delivery system
• Knowledge of TRICARE policies and benefits

Additional Information

Work Days/Hours : Monday – Friday; must be able to work an 8-hour shift between 9:00 a.m. – 6 p.m. EST.

Work Style : Remote

Work at Home/Remote Requirements

To ensure Hybrid Office/Home associates’ ability to work effectively, the self-provided internet service of Hybrid Office/Home 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 and computer 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

HireVue Statement : As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

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.

$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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 10-03-2025

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.

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.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.