Care Management Support Assistant

HumanaWork at Home - South Carolina, SC
$39,000 - $49,400Remote

About The Position

The Care Management Support Assistant 2 contributes to the administration of care management by providing non-clinical support to the assessment and evaluation of members' needs. This support helps achieve and maintain an optimal wellness state by guiding members/families toward resources appropriate for their care and wellbeing. Additionally, you will triage different risk assessments and assign them to the care management team. You will also follow up with the team inbox and direct referrals to the appropriate queue or tasks those to a care manager. Furthermore, you will complete health risk assessments to identify needs, which will be assigned to the appropriate care management. Be comfortable with a high volume of calls and perform outreach to members on a regular basis. You will also assist members by helping them understand their benefits and connect them to resources available. You will report to a Manager, Care Management.

Requirements

  • 1 or more years of customer service or call center experience
  • Knowledge of Microsoft Word, Excel and Outlook
  • Excellent communication skills

Nice To Haves

  • Associate's Degree
  • Resides in South Carolina
  • Experience with medical terminology
  • Familiarity with Medicaid population
  • Administration support experience in a healthcare industry
  • Familiarity with care and well-being resources

Responsibilities

  • Perform outreach calls (around 40 calls per day).
  • Receive/respond to incoming calls or team ques from referral sources or members, triage information to identify patient needs, and determine our ability to meet them.
  • Record the outcome of calls and follow-up on tasks.
  • Distribute inquires to the appropriate care manager.
  • Identify alternative community service resources when solutions are not available.
  • Perform health risk assessment telephonic screening to determine health risk appropriateness for case management.
  • Use your skills to make an impact.

Benefits

  • Health benefits effective day 1
  • Paid time off, holidays, volunteer time and jury duty pay
  • Recognition pay
  • 401(k) retirement savings plan with employer match
  • Tuition assistance
  • Scholarships for eligible dependents
  • Parental and caregiver leave
  • Employee charity matching program
  • Network Resource Groups (NRGs)
  • Career development opportunities
  • Medical, dental and vision benefits
  • Short-term and long-term disability
  • Life insurance
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