Telephonic Care Coach 1

Humana • Miami, FL

1d • Hybrid

About The Position

Become a part of our caring community and help us put health first The Telephonic Call Center Specialist/Care Coach 1 assesses and evaluates member's needs and requirements. We do this to achieve and maintain a wellness state. The specialist guides members/families toward resources and facilitates interaction with them. These resources are appropriate for the care and wellbeing of members. You will report to the Manager, Consumer Service Operations. As the Telephonic Call Center Specialist/Care Coach you will Inbound and Outbound calls from member, inquires or agents The dialer will call the member and connect them to the associate automatically Employ a variety of case management strategies, approaches and techniques to manage a member's case. Identify through a screening process for potential eligibility for state and federal benefits. Ensure member is progressing towards desired outcomes by continuously monitoring Member's case through use of assessment, data, and conversations with members, active planning and educating the member on potential resources. Use your skills to make an impact

Requirements

• 1 or more years of Telephonic environment experience and/or customer service in an office setting
• Live in the Miami, FL area
• Microsoft Office Programs Word and Excel
• Current valid Driver's license
• Travel up to 25% or more at times to include home visits and events
• Hybrid Home / Office- working 1 to 5 days a week in the Miami office, based on business needs
• Monday-Friday 8:00 AM-5:00 p.m. EST, Overtime based on business needs and hours could include weekends/holidays.
• During the Medicare Annual Election Period, September to December, must be able to work Monday through Friday between the hours of 8am-7pm EST but also subject to Overtime based on business needs and hours could include weekends/holidays.

Nice To Haves

• Associate Degree
• Microsoft Office PowerPoint
• Healthcare experience
• Strong preference for experience in member services and a call center environment specifically but not limited to Medicare & Medicaid recipients
• Previous experience with electronic case note documentation and experienced with documenting in multiple computer applications/systems
• Knowledge of community health and social service agencies and additional community resources reviews
• Bilingual English/Spanish. Must be able to speak, read and write in both languages without limitations or assistance.
• See Additional Information on testing
• Healthcare Telephonic environment experience and/or Healthcare customer service in an office setting

Responsibilities

• Inbound and Outbound calls from member, inquires or agents
• The dialer will call the member and connect them to the associate automatically
• Employ a variety of case management strategies, approaches and techniques to manage a member's case.
• Identify through a screening process for potential eligibility for state and federal benefits.
• Ensure member is progressing towards desired outcomes by continuously monitoring Member's case through use of assessment, data, and conversations with members, active planning and educating the member on potential resources.

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
• Education Level: Associate degree