Description

Become a part of our caring community and help us put health first
The Utilization Management Certified Occupational Therapy Assistant 1 (UM COTA) uses skills to support the coordination, documentation and communication of long-term ser vices and supports and/or benefit administration determinations. The UM COTA work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

• Provide support for the policies and procedures ensuring best and most appropriate treatment, long term services and supports authorizations with a focus on home modifications, vehicle modifications and durable medical equipment/assistive & adaptive equipment.
• Make decisions on moderately complex to complex issues.
• Follow established guidelines/procedures.

Use your skills to make an impact

Required Qualifications

• Must reside in the state of Michigan
• Must have the ability to travel monthly, 25% to the provider site and/or the Detroit, Michigan office for staff meetings, training, etc.
• Ability to work the schedule for this position which is Monday-Friday between 8am-5pm Eastern Time.
• Associate's Degree in Occupational Therapy with current licensure as Occupational Therapy Assistant in the state of Michigan.
• At least 2 years working in Occupational Therapy.
• Experience working with Medicaid and/or Medicare Plans.
• Experience working with vulnerable populations and the assessment and provision of LTSS.
• Ability to manage multiple or competing priorities in a fast-paced environment.
• Ability to work independently under general instructions and with a team.
• Excellent written and verbal communication skills.
• Comprehensive knowledge of Microsoft Word, Outlook and Excel.
• This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

PREFERRED QUALIFICATIONS:

• Health Plan experience.
• Previous experience in discharge planning and/or home health or rehabilitation.
• Bilingual preferred (Spanish, Arabic, Chaldean Neo-Aramaic or other).

Additional Information:

• Workstyle: This is a REMOTE work opportunity, but you MUST live in the state of Michigan which will include travel as listed below and annually to the Detroit, Michigan office for staff meetings, training, etc.

• Travel: Approximately 25% travel if the member is receiving in-home care; travel will be in Wayne and Macomb counties and a combination of daily to monthlyand annually to attend onsite team engagement meetings at Humana's Detroit, Michigan office.

• Workdays and Hours: Monday - Friday; 8:00am - 5:00pm Eastern Standard Time (EST).
• Language Assessment Statement: Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.

WAH INTERNET STATEMENT:

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.
• Must work from a dedicated space that is lacking ongoing interruptions to protect member PHI / HIPAA information.

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.

$48,900 - $66,200 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.
Requisition #: R-394542

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