Humana

About Humana

 

Job Category:

Integrated Care & Care Operations - Care Management

Country:

United States

Postal Code:

33458

Approximate Salary:

Not Specified

Position Type:

Full Time

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Branch Administrative Support - Compliance

Humana - Jupiter, Florida

Posted: 09/1/2018

Description

The Care Management Support Assistant 2 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 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

Responsibilities

The Care Management Support Assistant 2 (Compliance Coordinator) decisions are typically focused on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion. Job duties may include but are not limited to the following:

  • Ensure company and regulatory standards and criteria for client/personnel records
  • Assist in the branch level self-audits of clinical and personnel file audits
  • Reporting to the Management team findings from branch level self-audits
  • Work in collaboration with the Director of Client Services and Executive Director on the corrective action process subsequent to substandard audit results
  • Ensures that all paperwork for application is filled out by applicant per SBF standards
  • Performs/oversees all background checks on prospective candidates
  • Monitors professional and paraprofessional tickler reports for in-service requirements, licensure updates, etc
  • Performs any other functions as requested by supervisor

               

Required Qualifications

  • Associates Degree
  • Knowledge of Microsoft Word, Excel and Outlook
  • Record of effective customer service in high end service business
  • Strong organizational skills
  • Exceptional attention to detail

Preferred Qualifications

  • Bachelors Degree
  • Prior experience in health insurance industry
  • Bilingual English/Spanish

Additional Information

Scheduled Weekly Hours

40

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