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Job Details

Bilingual Telephonic Care Specialist

Company name
Humana Inc.

Location
Miami Gardens, FL, United States

Employment Type
Full-Time

Industry
Bilingual, Customer Service

Posted on
Apr 11, 2023

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Profile

Description

The Bilingual Telephonic Care Coach 1 / Specialist assesses and evaluates member's 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.

Responsibilities

Bilingual Telephonic Care Coach 1

Employs a variety of strategies, approaches and techniques to manage a member's health issues.

Identifies through a screening process for potential eligibility for state and federal benefits.

Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning

Working with members and potential members over the phone

Required Qualifications

Bilingual English/Spanish with ability to pass a language assessment

1 or more years of experience in telephonic intensive environment (inbound & outbound)

1 or more years of customer service experience

Current valid Driver's license required & ability to travel up to 50% at times in surrounding counties

Team player, ability to work with tight schedules, multiple priorities as well as work independently

Strong proficiency in Microsoft Outlook, Excel, Word & PowerPoint

Preferred Qualifications

Prior experience with Medicare & Medicaid recipients

Previous experience with electronic case notes and documenting in multiple computer applications/systems

Experience with health promotion, coaching and wellness

Microsoft Teams

Hours

Monday-Friday 8AM-5PM (flexible based on Community Center needs)

Must be able to work Mon-Fri between the hours of 8AM-7PM but be flexible with your hours based on business needs and hours could include weekends/holidays during the Medicare Annual Election Period, September 16th- December 8th.

Bilingual Assessment

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.

Additional Information

According to Humana's COVID-19 policy, vaccination and masking is required regardless of vaccination status (with exception for eating and drinking) for associates working in a clinical setting where patients receive care (e.g., pharmacy retail locations, clinics, home care). The policy only requires the primary series alone (first and second vaccine). Boosters are encouraged, but not required. Associates have the option to request an accommodation for medical, religious or other personal needs.

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.

Work at Home Guidance

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 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

Internal- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/yammer and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.

Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review 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.

#LI-BB1

Scheduled Weekly Hours

40

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.

Company info

Humana Inc.
Website : http://www.humana.com

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