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Care Management Support Assistant

Remote / Online - Candidates ideally in
Raleigh, Wake County, North Carolina, 27601, USA
Listing for: Humana
Remote/Work from Home position
Listed on 2026-03-07
Job specializations:
  • Healthcare
    Healthcare Administration
Salary/Wage Range or Industry Benchmark: 49400 USD Yearly USD 49400.00 YEAR
Job Description & How to Apply Below
Position: Care Management Support Assistant 2

Employer Industry: Health Insurance Services

Why consider this job opportunity
  • Salary up to $49,400 per year
  • Opportunity for career advancement and growth within the organization
  • Comprehensive benefits including medical, dental, and vision insurance, 401(k) retirement savings plan, and paid time off
  • Flexibility to work from home, with occasional travel required for training or meetings
  • Supportive and collaborative work environment that prioritizes employee wellness
  • Chance to make a positive impact on the health and well-being of beneficiaries and providers
What to Expect (Job Responsibilities)
  • Recognize ACD specific assessments/treatment plans and pend referrals and authorizations for review
  • Coordinate authorizations with Autism Services Navigators and Utilization Management, ensuring all necessary information is obtained
  • Answer inbound calls regarding the TRICARE Autism Care Demonstration while educating beneficiaries and providers about the program
  • Handle internal phone queue effectively during scheduled shifts
  • Utilize medical terminology knowledge to assist with customer inquiries and referral management
What is Required (Qualifications)
  • U.S. Citizenship required due to Department of Defense contract
  • Must successfully obtain interim approval for government security clearance
  • Minimum of 3 years’ experience in customer service or referral management with a high volume of work
  • Minimum of 3 years’ experience in the healthcare/medical or health insurance field
  • Experience with medical terminology and/or utilization management/coding
How to Stand Out (Preferred Qualifications)
  • Military healthcare service experience or working knowledge of the TRICARE entitlement program
  • Bachelor’s degree in a relevant field

#Health Insurance #Customer Service #Remote Work #Career Growth #Employee Benefits

We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position.

Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.

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