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Care Manager – Telephonic Nurse
CenterWell Senior Primary Care. Support patients discharged from CenterWell Home Health services or those needing post-acute services .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in post-acute care services, including Home Health, Hospice, and Palliative Care, while effectively navigating healthcare options and advocating for patients throughout the referral process. Strong analytical, problem-solving, and communication skills are essential for ensuring patient satisfaction and compliance with HIPAA regulations.
Highest-signal resume keywords
Compact State RN LicensePost-Acute Nursing ExperienceHome Health ExperienceAnalytical SkillsExcellent Verbal Communication
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Post-Acute Care ServicesPatient EducationClinical Eligibility ReviewReferral TrackingHealthcare Navigation
Soft Skills
Interpersonal SkillsEmpathyProblem-Solving
Certifications & Qualifications
Associates DegreeBSN Preferred
Industry Keywords
Home HealthHospicePalliative CareMedicare CoverageHIPAA Compliance
About the role
Key responsibilities & impact- Support patients discharged from CenterWell Home Health services or those needing post-acute services
- Navigate healthcare options, post-acute care services, 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 the appropriate clinical level of care using discussions, medical records, and other clinical data
- Match patient needs to service locations or provide alternative services when unavailable
- Advocate for customers throughout the referral process to ensure timely responses and maximize referral-to-admission conversion
- Follow up on and track referral and admission outcomes
- Support department performance objectives and patient satisfaction goals
- Assist with admissions as an ambassador for eligible patients
- Provide education regarding Home Health, Hospice, and Palliative Care Services
- Help with clinical eligibility review for alternate services
- Participate in special projects and perform other assigned responsibilities
- Complete mandatory HIPAA, Business Ethics and Compliance, and company policy training
- Report directly to the Manager, Care Management
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 skills
- 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 workspace without ongoing interruptions to protect member PHI/HIPAA information
- Availability for up to 19 hours per week, Monday-Friday between 5pm-7am ET and all day Saturday and Sunday
- Availability for 3 weekend shifts per month and 3 holidays per year
- Availability to train outside the advertised shift times
Benefits
Comp & perks- Paid time off
- 401(k) retirement savings plan
- Employee assistance program
- Business travel and accident benefits