Care Manager, Telephonic Nurse

CenterWell Senior Primary Care

. Support patients discharged from CenterWell Home Health services or needing post-acute services .

Posted 9/29/2026full-timeRemote • United StatesMid-LevelSenior💰 $71,100 - $97,800 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in post-acute care navigation, patient advocacy, and clinical eligibility reviews while ensuring compliance with HIPAA and business ethics. Proficient in providing education on Home Health, Hospice, and Palliative Care Services to enhance patient understanding and satisfaction.

Highest-signal resume keywords

Post-Acute Nursing ExperienceCompact State RN LicenseHome Health ExperiencePatient AdvocacyHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Level Of Care DeterminationPatient EducationReferral TrackingAnalytical SkillsProblem-Solving Skills

Soft Skills

Excellent Verbal CommunicationInterpersonal SkillsEmpathy

Certifications & Qualifications

Associates DegreeBSN Preferred

Industry Keywords

Home Health ServicesHospice ServicesPalliative CareMedicare CoveragePatient Satisfaction Goals

About the role

Key responsibilities & impact

Support patients discharged from CenterWell Home Health services or needing post-acute services
Navigate healthcare options, post-acute care offerings, Medicare coverage, billing issues, and healthcare resources
Provide patient options and education regarding sites of service, specialty offerings, post-acute care, and related questions
Handle customer issues including location lookup, directions, and complaints
Determine clinical level of care using discussions, medical records, and clinical data
Match patients to appropriate service locations or provide alternative services
Advocate for patients throughout the referral process
Follow up on and track referral and admission outcomes
Maintain department performance standards and patient satisfaction goals
Assist with admissions by supporting patients who meet admission requirements
Place the right patient in the right care setting at the right time
Complete mandatory HIPAA, Business Ethics and Compliance, and company policy training
Provide education about Home Health, Hospice, and Palliative Care Services
Support clinical eligibility reviews for alternate services
Participate in special projects and perform other assigned responsibilities
Report directly to the Manager, Care Management
Work a 40-hour, four-day schedule with rotating weekend and holiday coverage

Requirements

What you’ll need

Associates Degree required
BSN preferred
Compact state RN license required; additional state licensures may be required based on business needs
At least 3 years post-acute nursing experience
Home health or hospice experience preferred
Knowledge of home health, hospice, and palliative care services
Ability to learn and master information related to client locations and services
Analytical and problem-solving abilities
Excellent verbal and interpersonal skills
Ability to communicate with empathy over the phone
Minimum home internet speed of 25 Mbps download and 10 Mbps upload
Dedicated work space without ongoing interruptions to protect member PHI/HIPAA information
Availability for a rotating holiday schedule
Availability to train outside the advertised shift when required

Benefits

Comp & perks

Medical, dental and vision benefits
401(k) retirement savings plan
Paid time off
Company holidays
Personal holidays
Paid parental leave
Paid caregiver leave
Short-term disability
Long-term disability
Life insurance
Personal wellness support
Smart healthcare decision support
Occasional travel to Humana offices for training or meetings