Care Management Support Assistant 3

Humana

2d • $40,000 - $52,300 • Remote

About The Position

Become a part of our caring community KEY ACCOUNTABILITIES You will assist beneficiaries with eligibility process and support the family to ensure enrollment into the ACD and overcome barriers to obtaining required paperwork. Assist with regional transfers in and out of the region and ensure required paperwork is indexed into the electronic records system. Ensure all paperwork and documentation is notated within the clinical management system. You will assist with care coordination efforts of assigned beneficiary caseloads to include but not limited to managing incoming & out-going communications to manage provide placement. Includes education and referrals for initial outcome measure completion for seamless start to ABA services. You will interface with providers as appropriate for issue follow-up and resolution. You will communicate ECHO requirements to beneficiaries to ensure they provide necessary paperwork so there are no gaps in care. You will communicate with other departments to coordinate needs of beneficiaries, support the goals of the Autism Care Demonstration Use your skills to make an impact

Requirements

• 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 9:30 - 6 p.m. Eastern time
• 3 years experience working in a medical and/or behavioral health setting. This includes clinic, hospital case management, managed care/ healthcare setting.
• Experience working with providers, taking phone calls from patients/providers, handling referrals and assisting with coordinating care for patients.
• 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

Nice To Haves

• Military health care service experience or working knowledge of TRICARE ACD program.
• Healthcare professional with a Bachelor's degree in social work, psychology, or related health discipline from an accredited university.
• Knowledge of Autism Spectrum Disorder, specifically about Applied Behavior Analysis and other related therapies.
• While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Responsibilities

• Assist beneficiaries with eligibility process and support the family to ensure enrollment into the ACD and overcome barriers to obtaining required paperwork.
• Assist with regional transfers in and out of the region and ensure required paperwork is indexed into the electronic records system.
• Ensure all paperwork and documentation is notated within the clinical management system.
• Assist with care coordination efforts of assigned beneficiary caseloads to include but not limited to managing incoming & out-going communications to manage provide placement.
• Includes education and referrals for initial outcome measure completion for seamless start to ABA services.
• Interface with providers as appropriate for issue follow-up and resolution.
• Communicate ECHO requirements to beneficiaries to ensure they provide necessary paperwork so there are no gaps in care.
• Communicate with other departments to coordinate needs of beneficiaries, support the goals of the Autism Care Demonstration

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 5,001-10,000 employees