Talent.com
UM Coordinator 2 - Weekend Work
UM Coordinator 2 - Weekend WorkColumbus Staffing • Columbus, OH, US
No se aceptan más aplicaciones
UM Coordinator 2 - Weekend Work

UM Coordinator 2 - Weekend Work

Columbus Staffing • Columbus, OH, US
Hace 2 días
Tipo de contrato
  • A tiempo completo
Descripción del trabajo

UM Administration Coordinator 2

Become a part of our caring community and help us put health first. The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative / operational / customer support assignments. Performs computations. Typically works on semi-routine assignments. The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions are typically focus 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.

Required Qualifications :

  • Minimum 1 year of customer service experience, including the ability to effectively de-escalate challenging situations
  • After training, you must be available to work 4 days a week for 10 hour shifts during the hours of 6am 7pm EST. You will also be REQUIRED to work at least one weekend day (Saturday or Sunday).
  • Excellent verbal and written communication skills
  • Demonstrated attention to detail
  • Ability to navigate process flows and follow procedure documents
  • Proficient keyboarding skills for data entry and documentation
  • Capacity to multitask across various computer systems while engaging with providers or members
  • Quick aptitude for learning and navigating new technology systems and applications
  • Proficiency in Microsoft Office applications, including Word and Excel
  • A designated workspace, with a closed door, that minimizes distractions and meets leadership approval
  • Must effectively manage personal responsibilities to ensure a professional work environment conducive to achieving performance goals

Preferred Qualifications :

  • Proficient utilizing electronic medical record and documentation programs
  • Experience with Utilization Review and / or Prior Authorization, preferably within a managed care organization
  • Knowledge of Medical Terminology and / or ICD-10 codes
  • Bilingual (English & Spanish) fluent in written and verbal communication
  • Additional Information :

  • Work-At-Home Requirements
  • To ensure Home or Hybrid Home / Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home / Office associates must meet the following criteria :
  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
  • Satellite, cellular and microwave connection can be used only if approved by leadership.
  • Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided with a bi-weekly payment for their internet expense.
  • Humana will provide Home or Hybrid Home / Office associates with telephone equipment appropriate to meet the business requirements for their position / job.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
  • Interview Format :

    As part of our hiring process for this opportunity, we will be using exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue 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 HireVue interview. In this interview, you will receive a set of interview questions over your phone, and you will provide recorded or text message responses to each question. For best interview experience use a computer over a phone. You should anticipate this interview to take about 15-20 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.

    Humana Benefits :

    Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial securityboth today and in the future, including :

  • Health benefits effective day 1
  • Paid time off, holidays, volunteer time and jury duty pay
  • Recognition pay
  • 401(k) retirement savings plan with employer match
  • Tuition assistance
  • Scholarships for eligible dependents
  • Parental and caregiver leave
  • Employee charity matching program
  • Network Resource Groups (NRGs)
  • Career development opportunities
  • Social Security Task :

    Humana value's personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website.

    Travel :

    While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

    Scheduled Weekly Hours :

    40

    Pay Range :

    The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $40,000 - $52,300 per year.

    About Us :

    Humana Inc. (NYSE : HUM) is committed to putting health first for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

    Equal Opportunity Employer :

    It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana 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 https : / / www.humana.com / legal / accessibility-resources?source=Humana_Website.

    Crear una alerta de empleo para esta búsqueda

    Um Coordinator • Columbus, OH, US

    Ofertas relacionadas
    Discipleship Coordinator - The Ohio State University

    Discipleship Coordinator - The Ohio State University

    International Friendships, Inc. • Columbus, OH, USA
    A tiempo parcial
    Quick Apply
    Introducing IFI, and why you want to be an Ohio State Discipleship Coordinator with us : .International Friendships, Inc. We do this by offering services, such as airport pickups, holiday hosting, tem...Mostrar más
    Última actualización: hace más de 30 días
    Breakfast Coordinator

    Breakfast Coordinator

    Carrols Corporation • Delaware, Ohio, United States, 43015
    A tiempo completo
    Carrols owns and operates more than 800 Burger King Restaurants, and we need great leaders on our team!.What Does a Breakfast Coordinator do?. Operates the restaurant in the absence of a Manager dur...Mostrar más
    Última actualización: hace más de 30 días
    Scheduling Coordinator

    Scheduling Coordinator

    OhioHealth • Columbus, OH, US
    A tiempo completo
    We Are More Than A Health System.We are more than a health system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide.We work hard,...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Instrumentation Coordinator- West Campus-The James- Outpatient Care

    Instrumentation Coordinator- West Campus-The James- Outpatient Care

    Ohio State University Wexner Medical Center • Columbus, OH, United States
    A tiempo completo
    An Instrumentation Coordinator works to prepare, sterilize, install, assemble, and or clean all clinic or healthcare equipment required for surgeries, examinations, and medical procedures.The Instr...Mostrar más
    Última actualización: hace 21 días • Oferta promocionada
    Patient Experience Coordinator | The James

    Patient Experience Coordinator | The James

    Ohio State University Wexner Medical Center • Columbus, OH, United States
    A tiempo completo
    The Patient Experience Coordinator provides personalized guidance and support that promotes a positive patient / family experience throughout their care continuum. The Patient Experience Coordinator a...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    MEP Coordinator - Data Center Construction

    MEP Coordinator - Data Center Construction

    Pkaza • New Albany, OH, US
    A tiempo completo
    MEP Coordinator - Critical Facility Construction - New Albany, OH / Remote.This opportunity is with a leading general contractor of data center construction services. This company provides a complet...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Utility Outage Coordinator

    Utility Outage Coordinator

    Ohio State University Wexner Medical Center • Columbus, OH, United States
    A tiempo completo
    FUNCTION : Facilities, Engineering, and Acquisition.SUB-FUNCTION : Facilities Operations.CAREER BAND : Individual Contributor Specialized. The Utility Outage Coordinator manages utility outages that e...Mostrar más
    Última actualización: hace 21 días • Oferta promocionada
    Regional Outreach Coordinator - Ohio Commission for the U.S. Semiquincentennial

    Regional Outreach Coordinator - Ohio Commission for the U.S. Semiquincentennial

    Ohio History Connection • Columbus, OH, USA
    A tiempo completo
    Quick Apply
    Position : Regional Outreach Coordinator, Ohio Commission for the U.Benefits : Full Benefits including medical, dental, vision insurance, paid time off and holiday, public retirement pension.Ohio Rev...Mostrar más
    Última actualización: hace 18 días
    Internship Coordinator

    Internship Coordinator

    International Friendships, Inc. • Columbus, OH, USA
    A tiempo parcial +1
    Quick Apply
    Introducing IFI, and why you want to be an Internship Coordinator with us : .International Friendships, Inc.We do this by offering services, such as airport pickups, holiday hosting, temporary housin...Mostrar más
    Última actualización: hace más de 30 días
    Clearance Coordinator (Contract to Hire)

    Clearance Coordinator (Contract to Hire)

    Blue Star Partners LLC • Columbus, OH, US
    A tiempo completo
    Clearance Coordinator (Contract to Hire).Year (W2 – Must be authorized to work in the U.Tue – Sat, 6 : 00 AM – 2 : 00 PM. Mon – Fri, 6 : 00 AM – 2 : 00 PM.Mon – Fri, 7 : 00...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Pallet Sorter - Weekend Night Shift

    Pallet Sorter - Weekend Night Shift

    Rehrig Pacific Company • Washington Court House, OH, US
    A tiempo completo
    Here at Rehrig Pacific, we are all about our people.Since 1913, our organization has focused on sustainable supply chain solutions while creating a culture and atmosphere where amazing people, like...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Healthcare Services Coordinator

    Healthcare Services Coordinator

    Proscan Imaging • Columbus, OH, United States
    A tiempo completo
    Job description ProScan Imaging is seeking a full-time, Healthcare Services Coordinator for our Columbus, OH Locations.Monday through Friday, with no weekends, holidays or on-call.General Descripti...Mostrar más
    Última actualización: hace 14 días • Oferta promocionada
    CT / XR Weekend only - Mount Carmel New Albany

    CT / XR Weekend only - Mount Carmel New Albany

    Trinity Health • New Albany, OH, United States
    A tiempo completo
    The CT Technologist performs a variety of CT procedures both professional and non-clinical consistent with optimal image quality. Performs a variety of CT procedures both professional and non-clinic...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Alumni Coordinator- Remote

    Alumni Coordinator- Remote

    MyComputerCareer Inc • Columbus, OH, US
    Teletrabajo
    A tiempo completo
    About MyComputerCareer (MyCC) : .At MyComputerCareer, we’re transforming lives through tech education! Our mission-driven team is dedicated to helping students achieve life-changing careers in ...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Scheduling-Timekeeping Coordinator

    Scheduling-Timekeeping Coordinator

    Columbus Staffing • Columbus, OH, US
    A tiempo completo
    This position is responsible for timekeeper functions and schedule generation / maintenance for assigned group of employees through proficient use of workforce timekeeper and workforce scheduling app...Mostrar más
    Última actualización: hace 2 días • Oferta promocionada
    Project Coordinator, Performance

    Project Coordinator, Performance

    JobsOhio • Columbus, OH, United States
    A tiempo completo
    Project Coordinator, Performance.JobsOhio is a private, nonprofit corporation designed to drive job creation and new capital investment in Ohio through business attraction, retention and expansion ...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Weekend Sign Placer

    Weekend Sign Placer

    Artisan Direct • Johnstown, OH, US
    A tiempo parcial
    Quick Apply
    Sign Placer (Independent Contractor, Weekend Work) - Artisan Direct Are you looking for weekend jobs , flexible part-time jobs , or a side gig for extra cash ?. Artisan Direct, a leading company in ...Mostrar más
    Última actualización: hace 3 días
    Intake Coordinator- Fetal Center Clinic

    Intake Coordinator- Fetal Center Clinic

    Nationwide Children's Hospital • Columbus, OH, United States
    A tiempo completo
    Performs a wide variety of complex administrative activities for a Section Chief or VP, and / or others as assigned.Schedules appointments and meeting locations. coordinates business events.Manages t...Mostrar más
    Última actualización: hace 2 días • Oferta promocionada