UNKNOWN

ADAPTED_NOW

Work at Home Guidance To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. 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.

YEAR

Become a part of our caring community and help us put health first In the role of UM Coordinator 2, you will join our dynamic Clinical Call Center team, engaging daily with both providers and members while managing approximately 30 to 50 calls per day. Your responsibilities will include assisting providers in determining whether a member’s service requires prior authorization or a referral, responding to inquiries about authorization statuses, and gathering clinical information for pending authorizations. You may also support members with their authorization requests, which could involve making outbound calls to provider offices. As a UM Coordinator, you will be tasked with collecting and reviewing clinical data and resources to help achieve positive outcomes for our consumers. The position offers a challenging environment, as our processes and procedures are subject to frequent updates due to evolving CMS rules and regulations. Maintaining a high standard of quality is essential, as monthly performance requirements must be consistently met. Our mission emphasizes the health of our teammates, company, and customers. We are committed to fostering a workplace where every team member feels valued, respected, and treated with kindness. Collaboration and continuous learning are central to our approach, allowing us to develop the best solutions for those we serve. We are dedicated to fulfilling our purpose by consistently delivering excellent service to our customers. This position requires the use of multiple systems, therefore the ability to maneuver multiple systems at one time is vital. In this role you will: + Take inbound calls to engage members and/or providers to verify clinical information, typically 30-50 calls daily. + Handle customer inquiries both telephonically and by fax + Learn how to maneuver our process flow to effectively handle customer requests + Provide excellence customer service to our customers + Document all call information according to standard operating procedures and attach clinical information when necessary + Use multiple systems, therefore the ability to maneuver multiple systems at one time is vital. + Identify and escalate issues Use your skills to make an impact Required Qualifications + Prior customer service and/or call center experience + Proficiency in Microsoft Office applications, including Word and Excel + Excellent verbal and written communication skills + Ability to multitask within several computer systems while on the phone + Aptitude for quickly learning and navigating new technology systems and applications + Typing skills Preferred Qualifications + Proficient utilizing electronic medical record and documentation programs + Proficient and/or experience with medical terminology and/or ICD-10 codes + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization Workstyle: Remote work at Home Location: U.S. Schedule: Must be available to work any shift between the hours of 7 am - 7pm Central. Most shifts are 8 1/2 hours with a potential to rotate on holidays and weekends as needed. Travel: None Work at Home Guidance To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees 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 employees 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. SSN Alert Humana values your 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. Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. ​ 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 Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. 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.

Humana

UM Administration Coordinator

FEED

OTHER

NYS EMT Certified (successfully completed an approved New York State EMT-B or AEMT course, or out of state equivalent, and achieved a passing score on the practical and written certification examinations; note that AEMT-certified employees will be practicing at the EMT-B level). We are seeking New York State certified EMT-Basics who are looking to work weekends - this would be a great part-time job for a college student or someone with a full-time job looking to make some extra money in time for the holidays!

<h2>Starting payrate at hire based on prior EMS & EMT experience.  Rate includes a $2.00 per hour differential for weekend shifts (shifts starting Friday night through Sunday night).</h2><h2>Weekend Part-Time EMT Trainee: $21.43 </h2><h2>Weekend Part-Time EMT (driver trained): $22.04</h2><h1>Weekend Emergency Medical Technicians!</h1>We are seeking New York State certified EMT-Basics who are looking to work weekends - this would be a great part-time job for a college student or someone with a full-time job looking to make some extra money in time for the holidays! <h3>Mohawk is hiring confident EMTs to provide patients with basic life support and transport to medical facilities. EMTs collaborate with other emergency medical personnel to stabilize patients, and to arrange their reception at medical facilities. EMTs must be accountable to their patients, conduct themselves in a professional manner, be positive, and commit to continue their EMS education to become the best provider possible. An EMT is responsible for completing a 2 person crew that will respond to 911 calls for service, provide appropriate patient care, and complete electronic care reports for each incident.</h3>Essential Functions: Reasonable accommodations may be made to enable individuals with disabilities to perform the assigned and essential functions.<ul><li>Function as a NYS emergency medical technician to direct, provide, and facilitate high-quality patient care.</li><li>Arrive punctually, fit, and ready for work in company approved uniform</li><li>Respond to calls when dispatched. Reads GPS devices to drive ambulance to emergency site using most expeditious route permitted by weather and road conditions. Observes all traffic ordinances and regulations.</li><li>Promote a culture of safety for all employees, patients, and stakeholders by adhering to workplace safety policies; observe, correct, and report safety concerns and deficiencies to the on-duty Shift Leader.</li><li>Adhere to company, regional, state, and federal policies, procedures, and laws & regulations.</li></ul>Selection for weekend shifts is subject to seniority and shift bid process.EEO Statement Mohawk Ambulance provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.Disclosure By submitting an application for employment at Mohawk Ambulance Service you authorize Mohawk Ambulance Service to contact you now or at any point in the future, regarding the position for which you have applied, any other open position with the company, or for any recruitment or marketing purpose.<h2>Requirements </h2><ul><li>High School Diploma or equivalent</li><li>Valid NYS Driver's License required</li><li>NYS EMT Certified (successfully completed an approved New York State EMT-B or AEMT course, or out of state equivalent, and achieved a passing score on the practical and written certification examinations; note that AEMT-certified employees will be practicing at the EMT-B level)</li><li>Successful completion of free, in house training (EVOC/emergency vehicle operator course)</li><li>Must be driver qualified and deemed insurable. Must have and maintain Class “D” New York State Driver License or higher or analogous equivalent from another jurisdiction without record of suspension or revocation in any State.</li><li>Ability to communicate effectively via telephone and radio equipment</li><li>Ability to lift, carry and balance up to 125 pounds (250 lbs. with assistance</li><li>Ability to maintain sustained patient contact for considerable periods of time</li><li>Ability to participate in long distance transports</li><li>Flexible work available (8,10, 12 hour shifts). One shift per week for PT. </li></ul>* Only experience which can be verified will be recognized. New hire experience must be verifiable and must represent time spent in the EMS field, within the specific job classification for which they are being hired, that is not de minimis, volunteer or piece meal work.

Mohawk Ambulance

EMT-Basic (Weekends [Friday night through Sunday night])

Ambulance Services

Basic Life Support (BLS)

Communication Skills

Driver's License

EMT-Paramedics

GPS (Global Positioning System)

Medical Office Administration

Patient Care

Regulations

Safety/Work Safety

Telephone Skills

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UM Administration CoordinatorHumana

EMT-Basic (Weekends [Friday night through Sunday night])Mohawk Ambulance

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