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Utilization Management Physicial Therapist
Utilization Management Physicial Therapist-November 2024
Oklahoma City
Nov 24, 2024
ABOUT HUMANA
At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized whole-person healthcare experiences.
10,000+ employees
Healthcare
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About Utilization Management Physicial Therapist

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

  

  The Physical Therapist 2 provides services that help restore function, improve mobility, relieve pain, and prevent or limit permanent physical disabilities of patients suffering from injuries or disease. The Physical Therapist 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

  *** This position requires residence in the state of Oklahoma.

  The Physical Therapist 2 will review authorization requests received from providers or a customer service queue and gather information, review, approve or collaborate with a Medical Director for additional clinical review as appropriate.Educates providers on utilization and medical management processes.Enters and maintains pertinent clinical information in the medical management systems.Sensitivity to cultural diversity and to making accommodate available to provide services to a diverse population.

  

  Use your skills to make an impact

  

  Required Qualifications

  Active Oklahoma license to practice physical therapy; maintains licensure requirementsOne year of appropriate experience as a physical therapistExcellent verbal and written communication skillsSensitivity to cultural diversity and to making accommodation available to provide services to a diverse populationStrong customer services skills

  Workstyle: Remote Oklahoma/Work at Home

  Location: Oklahoma

  Training Schedule: Monday through Friday 8:00 AM - 5:00 PM Central

  Regular Schedule: Monday through Friday 8:00 AM - 5:00 PM Central with rotating holidays and weekends

  Flexibility to accommodate Eastern Time Schedule to meet business needs

  Travel: Periodic travel to Humana Oklahoma City office for meetings and training

  Work at Home Guidance 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 recommended; wireless, wired cable or DSL connection is suggestedSatellite, cellular and microwave connection can be used only if approved by leadershipEmployees 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.Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

  Preferred Qualifications

  BilingualMCG, Interqual, or other criteria-based system experience

  Additional Information:

  Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

  SSN Alert Statement

  Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [email protected] with instructions on how to add the information into your official application on Humana's secure website.

  Benefits Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:

  Health benefits effective day 1, Paid time off, holidays, volunteer time and jury duty pay, Recognition pay, 401(k) retirement savings plan with employer match,

  Tuition assistance, Scholarships for eligible dependents, Parental and caregiver leave, Employee charity matching program, Network Resource Groups (NRGs), and Career development opportunities.

  #L1-Remote

  Scheduled Weekly Hours

  40

  

  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 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.

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