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Transplant Case Manager--Work at home
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If you're searching for a company that will help you build on skills-sets developed with previous employers, you've come to the right place. At Humana, we value the diverse backgrounds, experiences and talents new associates bring to their roles. Here you'll find an intellectually stimulating and challenging work environment in which to grow your career.
Humana was founded in 1961 on the premise of first-rate patient care. As our company has progressed from a nursing-home proprietor to the nation's largest hospital chain to a combined hospital-and-.health-insurance company to an innovative health solutions company, Humana has consistently been "ahead of the pack." And over the past six years, we have made tremendous investments in our people as we've sought to attract, develop and retain talented associates in roles where they can make an impact on the business, as well as grow personally and professionally. Our associates are offered a wide range of benefits choices to balance their work, lifestyle and personal needs.
Louisville, KY 40202-Transplant Case Manager--Work at home .
Job Description:
Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals.
Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.
Role: Clinical Innovations / Clinical Advisor, RN
Assignment: Transplant Case Management
Location: This is a work-at-home, telephonic nursing position. Successful candidates must reside in the Central or Eastern Time zone and have a designated home office with a locked door to conduct business activities.
Are you a fit?
Do you enjoy working with medical members? Do you have a strong nursing background in solid organ and/or bone marrow transplant? Do you have a desire to be in a position where you can provide guidance to our member population as it is related to their health care needs? If so, then read on!
Assignment Capsule
The Transplant Management Clinical Advisor guides Humana members through solid organ and bone marrow transplantation by providing information and resources that enable the member to make informed decisions. The Clinical Advisor will be the single transplant point of contact that ensures members' understanding of their transplant benefits. By steering members to the Humana National Transplant Network, the Clinical Advisor will maximize the available transplant benefits.
The Clinical Advisor must have the ability to identify potential barriers for members receiving transplant services, provide appropriate authorizations related to transplant or assist in obtaining those authorizations, monitor and evaluate members' needs post transplant related services, and know when to follow-up with a member. This is achieved through one-on-one dialogue with the member, thus the ability to maintain a heavy caseload (180 - 200 cases) is required.
The Clinical Advisor will serve as a resource for internal Humana departments and external business partners. In particular, The Clinical Advisor will provide network support to the Humana Transplant Network and claims support to the dedicated transplant claims units. The Clinical Advisor will participate in the development and implementation of Transplant Management's Quality Management System, policies and procedures and metrics.
This role necessitates the ability to work via cable or DSL modem (preferably DSL) from home in a secure environment where confidentiality of member and company information can be maintained.
Key Competencies
Communication: The clinical advisor identifies and understands the needs and perspectives of others. He/she understands the audience and tailors delivery accordingly; shares information appropriately. The clinical advisor presents information and/or recommendations verbally, graphically and/or in writing that is articulate and succinct.
Problem Solving: The clinical advisor proactively identifies and evaluates problems. He/she identifies appropriate subject matter experts and other information resources to resolve problems. The clinical advisor is able to collect, analyze, and draw conclusions from information and is able to differentiate between symptoms and root cause--effectively handles resolution or hand-off of both components. Implementation/Execution: The clinical advisor effectively leverages available resources (financial, people, time) to accomplish objectives and maximize return on investment. He/she makes appropriate decisions in the face of ambiguity. Anticipates and resolves barriers and constraints.
Technology: The clinical advisor chooses and adeptly uses appropriate technology tools, methodologies and solutions. From the telephone to the computer, the clinical advisor is at home with electronic technology and uses it as a matter of course. The Internet is a familiar place where the clinical advisor is able to navigate and find resources, information, and tools to help guide members. The clinical advisor is able to learn via the internet and within a virtual environment.
Assessment: The clinical advisor evaluates members with specific diagnoses, identified as having been historically associated with opp
Minimum Education Required: Bachelor
Years of Experience Required: More than 5 years
Expected Travel Time: None
Job Title:
Transplant Case Manager--Work at home
Company:
Humana
Status:
Full Time, Employee
Reference Code:
27859
Location:
Louisville, KY 40202
Company:
Humana
Applicant Category: Professional
Requisition Code:
Two Initials of Recruiter: BW
System Date: 10/28/2008
System Time: 19:36:45
Document Name(40): Transplant Case Manager--Work at home
Source: Pittsburgh Post-Gazette Classifieds
SearchTerms: "work at home" "work from home"
URL(80): http://jobview.post-gazette.monster.com/getjob.asp?JobID=76491980&JobTitle=Trans
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