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Business Support Clinical Lead Coordinator

$44.9k - $60.2k

Humana

Become a Part of Our Caring Community and Help Us Put Health First

We are seeking an experienced Licensed Practical Nurse with a strong clinical background in home health to join our team as the Business Support Clinical Lead Coordinator. This role is essential in supporting our medical supply ordering process by reviewing supply requests submitted by case managers, particularly for wound care, ostomy, and other specialized items.

We are seeking an experienced nurse with a strong clinical background in home health to serve as the Home Health Clinical Support Coordinator for our agencies. This role supports the medical supply ordering process by reviewing supply requests submitted by case managersparticularly wound care, ostomy, and other specialized itemsto ensure orders are clinically appropriate, cost-effective, and align with our formulary guidelines. This nurse will act as a bridge between clinical and administrative teams, providing guidance to our non-clinical staff who handle the actual order placement, and collaborating directly with case managers to clarify, confirm, or recommend alternative items based on the patient's actual clinical need. They will also support the review and follow up process for orders pending physician's signature and assist with reviewing authorizations to ensure the documentation aligns with what is being shipped and billed.

Use Your Skills to Make an Impact

Required Qualifications

  • Licensed Practical Nurse License (LPN)
  • 2 - 4 years of technical experience
  • 2 - 5 years of experience in Home Health
  • 1 - 5 years of leadership experience
  • Proficiency in all Microsoft Office Programs: Word, PowerPoint, Excel, Access, etc.
  • Capacity to maintain confidentiality and work independently in support of the department
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

  • High School Diploma or GED
  • Prior accounts data entry experience
  • Experience with Lotus Notes, internet research and proof-reading/editing
  • Reporting relationships
  • Experience with Wellsky (Kinnser)
  • Experience with Medline supply ordering process
  • Experience with Focura Management Data Platform

Additional Information

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. $44,900 - $60,200 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

About OneHome: OneHome coordinates a full range of post-acute care ranging from home health, infusion therapy and durable medical equipment services at patients' homes. OneHome's patient focused model creates one integrated point of accountability that coordinates with physicians, hospitals and health plans serving more than one million health plan members nationwide. OneHome was acquired by Humana in 2021 to advance value-based care. Our culture is inclusive, diverse, and above all, caring. It is important to us that our employees are engaged, supported and fairly treated. We offer a comprehensive benefits package to ensure the health and financial well-being of you and your family.

About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first for our teammates, our customers, and our company. Through our Humana insurance services, and our 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.

Humana
Vacancy posted 5 days ago
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