Role: *Referral Specialist-*HAH Member Engagement Associate *Assignment: *Humana At Home *Location: *St. Petersburg, FL (In office Care Center)
Humana’s dream is to help our members and our own associates achieve lifelong well-being. Use your clinical experience to work with patients and providers in a nontraditional environment where your knowledge will make a difference. Our associates know their work is vitally important; we strive to ensure we provide perfect service with one-on-one member interactions as a coach, personal nurse, or clinical advisor. Humana’s Perfect Service® means getting the basics done right, delivering value and quality, providing guidance on needs, and being engaged with our members. We want to help our members make the right choices to live life fully. We begin that process by connecting our members with an associate who cares.
Assignment Capsule Be a part of our Clinical Space- Provide guidance to facilitate interaction or services that connect people with lifelong well-being.
The HAH Member Engagement Associate will initiate telephonic outreach to members identified by Humana At Home as viable candidates for Care Management and engagement. You will explain Humana’s Care Management program and obtain consent for enrollment.
Other responsibilities include:
• Document per protocol and communicate pertinent information to designated person and/ or persons.
• Meet or exceed member engagement goals on a consistent basis.
• Participate in the promotion of the multi-disciplinary healthcare team.
• Work collaboratively with other members of the clinical leadership team.
• Relate to a production environment and understand process flows.
• Maintain and improve quality results by adhering to standards and guidelines; recommending improvements as identified.
• Must meet all compliance and privacy requirements set forth for proper member engagement.
• Additional responsibilities as deemed appropriate by Humana At Home Leadership.
Role Essentials *
High School Diploma or equivalent
Six months of recent relevant experience
Intermediate to advanced computer skills and knowledge of Microsoft Word and Excel
Able to use a variety of electronic information processing tools and multiple software programs
Professional, interactive written and verbal communication skills
High level of detail and organization skills
High level of knowledge retention
Able to multi-task without losing sight of accuracy & quality
Able to establish priorities, work independently and proceed with objectives without direct supervision
Able to thrive in a fast paced environment
Able to work a full time (40 hours) and flexible work schedule as early as 9:30am as late as 8:00pm to include some evenings and weekends
Role Desirables * o Associate’s degree or equivalent from two-year college or technical school OR six months to one year related experience and/or training
o Related experience in healthcare, customer service and/or call center
o Experience working with the senior adult population
o Experience with outbound calls
o Experience working on an automated/auto dialer system
o Bilingual (English/Spanish); speaking, reading, writing, interpreting and explaining documents in Spanish and English
o Critical Thinking
o Team Player
o Previous experience with Humana at Home as a Referral Specialist, Care Concierge or Referral Intake Specialist Reporting Relationships You will report to a Front Line Leader.
Reporting Relationships *
Additional Information *
Humana 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 for this opportunity, we will be using an exciting interviewing technology called Montage Voice to enhance our hiring and decision-making ability. Montage Voice allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a Montage Voice interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.
Title: HAH Member Engagement Associate
Location: FL-Saint Petersburg
Requisition ID: 191803
Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. We also provide free language interpreter services. See our full accessibility rights information and language options.