Thread regarding Humana Inc. layoffs

New Centralized UM

The New Centralized UM leadership is out of touch with the employees ! It is chaos, disastrous and not doable. Huge stress and unbearable!!!


by
| 1931 views | | 12 replies (last October 26) | Reply
Post ID: @OP+1k84xwgj5

12 replies (most recent on top)

I am grateful for this forum, and to know that I am not the only one feeling this way about UM centralization. One big, hot mess

by
| | Reply
Post ID: @yv+1k84xwgj5

Is it true that eventually IRF/LTACH preauth work will be moved to OneHome like SNF will be next year?

by
| | Reply
Post ID: @y6+1k84xwgj5

Three ring circus without a ring leader. Their body actions during Zoom meetings to announce the great, new centralization process should have been the first clue. Acting as if they are thinking to themselves "Why am I having to sit through this", flipping your hair off your shoulder, smirks for fake smiles, unable or unwilling to answer questions. No Academy Award for any of those actors. Best part is telling folks in UM on Friday afternoon your job is safe, have a good weekend, just to have ERP and positions eliminated within the next 2 weeks. For teams, would be like a lift and shift in centralization. More like lift and shafted!

by
| | Reply
Post ID: @q7+1k84xwgj5

Hearing a lot of complaints. From both providers and members and we aren’t even a month in yet.

by
| | Reply
Post ID: @gs+1k84xwgj5

@OP I can say for sure, that I have seen more denials lately compared to what had been normal in the last several years. Many members are frustrated because of it, as am I and clearly your dept. I feel for all of you in UM...nothing moves forward for people requiring auths without you so I know this is a BIG deal and I hope Humana sees that. Hopefully things improve soon.

by
| | Reply
Post ID: @dm+1k84xwgj5

@cc I will answer your questions if first you answer mine.

Did the architects of the centralized UM consult with those who actually perform the work tasks? Are you one of the architects? Do you know how to do their job?

by
| | Reply
Post ID: @cf+1k84xwgj5

Did the process change that much? Maybe depended on which region you were with. What is the big change bothering people? Assignments? p2p?

by
| | Reply
Post ID: @cc+1k84xwgj5

Oh boy, this change has been disastrous and everyone’s morale is depleted at this point. Although, no changes on the fort front and we are rocking the new process is what we are told. Disheartening.

by
| | Reply
Post ID: @c1+1k84xwgj5

@a2 You’re 100% correct. Look at your leadership tree. Who are the directors, VPs and SVPs? Even the directors do your job because they’ve never done the job. Yes, several have been at Humana for a long time, but have they ever even worked a month reviewing for medical necessity? Nope!

by
| | Reply
Post ID: @bs+1k84xwgj5

Agreed. Total circus.

by
| | Reply
Post ID: @b5+1k84xwgj5

@O whoever is making
These decisions has never done our jobs!!

by
| | Reply
Post ID: @a2+1k84xwgj5

Try doing what you asking us to Do!

by
| | Reply
Post ID: @a1+1k84xwgj5

Post a reply

: