Become a part of our caring community and help us put health first

　　The Utilization Management (UM) Coordinator contributes to administration of UM. The UM Coordinator performs varied activities and moderately complex administrative, operational, and Enrollee support assignments. The individual in this role performs computations and typically works on semi-routine assignments.

　　RESPONSIBILITIES:

　　• Provides nonclinical support for the policies and procedures, ensuring best and most appropriate treatment, care, or services for our Enrollees

　　• Assists Providers with discharge planning for Enrollees with inpatient stay or outpatient physical health

　　• Works on special projects with the clinical team

　　• Completes Provider-facing responsibilities

　　REQUIRED QUALIFICATIONS:

　　- High school diploma or equivalent

　　- 1+ yrs of experience in a healthcare environment.

　　- Knowledgeable with behavioral health resources in Oklahoma

　　- Proficient using electronic health record and documentation programs

　　- Proficient or Intermediate experience with medical terminology or ICD-10 codes

　　PREFERRED QUALIFICATIONS:

　　- Experience with enrollee services or customer service

　　- Associate or bachelor's degree in healthcare, business, finance, or related field

　　- Experience working in Medicaid or Medicare

　　Work at Home/Hybrid 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

　　Scheduled Weekly Hours

　　40

　　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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.