Care Management Support Assistant - 3

HumanaSchaumburg, IL
Hybrid

About The Position

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

Requirements

  • 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
  • Must 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)
  • 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. Satellite, cellular and microwave connection can be used only if approved by leadership.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Nice To Haves

  • 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)

Responsibilities

  • Provides non-clinical support to the assessment and evaluation of members' needs
  • Guides members/families toward and facilitate interaction with resources
  • Developing Job Aids and training on specific CMSA job processes
  • Manage inbound and outbound calls with members, their families, and providers
  • Perform computations, including data entry, in adherence to established metrics
  • Other duties as assigned by the Manager, Care Manager Support and Associate Director, Care Management Support depending on business needs

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.
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