Call Center Jobs

CallCenterJobs.com
Search Jobs | Job Seekers
Employers | Post a Job

View Job

Clinical Intake Frontline Leader - (Role Number: 186034)

01/12/2018Call Center
Job Location:
Louisville, KY
Metro Area:
KY - Louisville
Company Name: Humana Inc.
Website:  Click to Visit
Role: Clinical Intake Frontline Leader

Assignment: Clinical Intake 

Location: Work at home

 

Humanas dream is to help our members and our own associates achieve lifelong well-being. Use your clinical experience to work with patients and providers in a nontraditional environment where your knowledge will make a difference. Our associates know their work is vitally important; we strive to ensure we provide perfect service with one-on-one member interactions as a coach, personal nurse, or clinical advisor. Humanas Perfect Service means getting the basics done right, delivering value and quality, providing guidance on needs, and being engaged with our members. We want to help our members make the right choices to live life fully. We begin that process by connecting our members with an associate who cares.


Role Description

Be part of a clinical leadership team, where we provide innovative health solutions to members and providers.

 

Humana is seeking a Clinical Intake Front Line Leader who will hire, lead, and develop clinical and non- clinical professional associates. The Front Line Leader will collaborate with other health care givers in reviewing actual and proposed medical care and services against established Guidelines. As a Clinical Intake Front Line Leader you will:

  • Manage a virtual team consisting of nurse clinical advisors and/or specialists
  • Promote associate engagement and build human capital
  • Identify training needs and coordinate training with assistance of team leads
  • Ensure compliance with regulatory requirements
  • Participate on committees and special projects, as needed
  • Manage associate/department metrics, report trends and resolve issues
  • Recruit, develop, and retain talent
  • Champion corporate values and well-being
  • Respond to member, provider, and compliance escalation

Role Essentials
  • Current RN license in the state in which the nurse is / will be required to practice
  • Ability to be licensed in multiple states without restrictions
  • Progressive clinical experience preferably in an acute care, skilled or rehabilitation clinical setting
  • 3 years of prior supervisory experience
  • Ability to work independently under general instructions and with a team
Role Desirables
  • BSN or Bachelors degree in a related field
  • Health Plan experience
  • Prior Medicare/Medicaid or commercial insurance experience
  • Call center or triage experience
  • Previous experience in utilization management, discharge planning and/or home health or rehab
  • Bilingual is a plus
Reporting Relationships
  • You will have 15-17 direct reports, and you will report to a process manager. 

Additional Information

 

At Humana, we know your well-being is important to you, and its important to us too. Thats why were committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. If you share our passion for helping people, we likely have the right place for you at Humana.

 


 
Apply Online Back