Certified Occupational Therapy Assistant (UM )

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 services 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.

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 :

Additional Information :

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 :

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.