[Remote] Care Manager Telephonic Nurse Assistant at Humana

San Antonio, Texas, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Health Insurance, HealthcareIndustries

Requirements

Candidates must possess at least two years of customer care experience, including outbound calling, and have knowledge of medical terminology. Proficiency in Microsoft Office Suite (Word, Excel, Outlook) is required, along with the ability to work an 8-hour shift between 9 a.m. and 6 p.m. EST, Monday through Friday. U.S. Citizenship is mandatory for this Department of Defense contract role, and candidates must be able to obtain interim government security clearance. Additionally, candidates must meet specific home internet speed requirements (25 Mbps download, 10 Mbps upload) and reside outside of Puerto Rico.

Responsibilities

The Care Manager, Telephonic Nurse Assistant will provide non-clinical support for care management programs, assessing member needs and guiding them toward appropriate resources. Responsibilities include engaging in outgoing telephonic communications to establish appointments, assisting with inbound calls by providing program information and routing, and entering data into care management systems. The role also involves researching providers, offering appointment support, printing and processing mailings, performing general mail functions, and assisting with administrative tasks such as scheduling meetings and maintaining files.

Skills

Telephonic Communication

Care Management

Behavioral Health

Administrative Support

Data Entry

Provider Research

Appointment Scheduling

Mail Processing

Meeting Scheduling

Minute Taking

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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