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Care Manager, Telephonic Nurse Assistant-2-Remote, US

Company: Humana
Location: Lancaster
Posted on: November 21, 2022

Job Description:

DescriptionThe Care Manager, Telephonic Nurse Assistant 2 receives inbound calls from members; calls may include providing reminders of preventive screenings, assists with transferring calls to nurses, and answer general questions from members. The NAL Care Manager, Telephonic Nurse Assistant 2 is knowledgeable about Humana systems, is able guide members to in-network providers, answer general benefit questions, assist with basic access to care needs, and assist members with finding online tools, resources available through and referring to support programs. The position is work at home with proven performance and ability to be self-directed and work independently.ResponsibilitiesThe Nurse Advice Line is an inbound call center that provides Humana members with nursing advice. The NAL employees assistants that are non-clinical and nurses that are Registered Nurses. They provide members with guidance, assist with access to care concerns, refers to programs, provides preventative screening reminders, and are trained to act as an overall clinical concierge.The NAL Telephonic Nurse Assistant 2 role is work at home, with oversight from the NAL Supervisor; and they are expected to work independently with minimal supervision. The NAL Telephonic Nurse Assistant 2 performs other duties as assigned.

  • Utilizing established process, identify members appropriate for nurse intervention
  • Provide accurate and appropriate non-clinical guidance
  • Utilizing available resources and benefits ensure member is aware of and participating in all non-clinical programs and services offered
  • Ensure members are aware system generated preventative health care services
  • Educate and assist member with plan education; offer support with managing network participation by using your knowledge of members benefit plan and Humana approved resources
  • Provide assistance to members experiencing access to care issues
  • Required hours are 10 AM EST to 6:30 PM EST (M-F)Required Qualifications
    • Excellent Computer competency skills to include the ability to utilize multiple computer systems
    • Previous call center type experience
    • Prior medical knowledge
    • Ability to multi-task effectively- toggle, talk and type at the same time
    • Professional verbal and written communication skills
    • Ability to work independently, and within a team virtuallyWork-At-Home Requirements
      • WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
      • A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
      • Satellite and Wireless Internet service is NOT allowed for this role.
      • A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA informationPreferred Qualifications
        • Associate's degree in business or related healthcare field
        • Bilingual preferred
        • Must be able to handle member calls on a busy inbound call queue
        • Knowledge of Humana systems is a plus; previous Humana experience desired
        • Familiarity with medical terminology
        • Experience with insurance
        • Must be passionate about contributing to an organization focused on continuously improving consumer experiencesAdditional InformationHumana is an organization with careers that change lives-including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you're ready to help people achieve lifelong well-being, and be a part of an organization that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you.As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.Scheduled Weekly Hours40Humana 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

Keywords: Humana, Rock Hill , Care Manager, Telephonic Nurse Assistant-2-Remote, US, Healthcare , Lancaster, South Carolina

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