Acute Utilization Management with Humana.

Specialties Case Management

Published

Can anyone offer insight about this position? Do you work from home, training, average salary, corporate culture?

Up Vote Up Vote ×
Specializes in Managed Care, Onc/Neph, Home Health.
Can anyone offer insight about this position? Do you work from home, training, average salary, corporate culture?

I worked from home for Humana for 1 yr and it was TERRIBLE!! I worked in the capacity for Utilization Review and onsite review. Case loads were unmanageable, management was not supportive. Training was "learning the computer and the software, you would use to input your clinical documentation. NOT your actual job. It was sink or swim. Its hard not being in the office, having a cubie to look over at a co-worker for a quick question. If you are at home, everything is communicated via IM, and usually it takes the front line leader so long to respond, because she is busy in the office doing things there, and have stepped away from her desk. And you are needing help. Too many conference calls. I have experience with UR, utilizing M&R criteria, but I have never experienced anything like Humana and its culture. Not sure is you will be working from home or not, or which office. I was so stressed out, I put in many hours. They measured your performance by metrics, how long it took you to close out a case. Its all monitored by the computer. And comparison's to other regions. Best thing I could have done to regain my sanity was to resign, and not look back, and regain my confidence. Good luck

Up Vote Up Vote ×

Thank you for the feed back. The position sounds intense. What was the compensation structure like. Usually high pressure jobs offer some form incentive to put up with the pressure. Are you doing UR for another company?

Up Vote Up Vote ×
Specializes in Managed Care, Onc/Neph, Home Health.

60K But after all the hours, it equaled out to 3.00/hr was my guestimate! :sniff: I would put in 12 hr days just to keep up. I was always working. Had a case load of 50-60 cases to document on Q3days, which was required, and I had to go onsite 3 days a week to 1 acute facility, telephonic review for 2 facililities and 1 SNF. The assignment changed from week to week, depending on the case load and census of other nurses.

Up Vote Up Vote ×
Specializes in Managed Care, Onc/Neph, Home Health.

oh and I forgot to mention your time spent on conference calls for team conference twice a week on cases with the medical director. 1 case with discharge planning back and forth with the case manager at the acute facility can tie your day up ALL DAY!!! Good Luck

Up Vote Up Vote ×

Thank you for the update. Can I expect all UR companies to be like this or just Humana. Aetna is always hiring for UR.

Up Vote Up Vote ×
Specializes in Managed Care, Onc/Neph, Home Health.

I would recommend Aetna. I worked at Aetna and still be there if I would not had to take an LOA due to a medical illness in 2007. I was a supervisor. The work flow was smooth and better organized. It was not WAH, but I believe it has since went to that. Many of the companies are WAH. That type of position is not a fit for me. I prefer to go into an office, so I can leave work at work. I tend to always want to turn the computer back on to "catch up", and that is not good. I am not disciplined to work from home. I do not want to discourage you, however, what I have expressed with Humana is an honest snap shot. The company is all about metrics. To me its not worth the money, I believe other companies pay more.

Up Vote Up Vote ×
Specializes in Managed Care, Onc/Neph, Home Health.

So when do you begin and which office?

Up Vote Up Vote ×

I haven't started yet. I going currently in the interview process.

Up Vote Up Vote ×
+ Add a Comment