Care Manager, Telephonic Nurse

CenterWell Senior Primary Care

. Work remotely as a telephonic Registered Nurse .

Posted 9/18/2026part-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 management, patient advocacy, and continuity of care, with a strong focus on home health, hospice, and palliative care services. Proficient in navigating healthcare options and ensuring compliance with HIPAA and business ethics.

Highest-signal resume keywords

Registered Nurse LicensePost-Acute Nursing ExperienceHome Health ExperienceAnalytical Problem-SolvingExcellent Verbal Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Patient Care ManagementClinical Eligibility ReviewReferral Process AdvocacyHealthcare Resource NavigationPatient Education

Soft Skills

Interpersonal SkillsEmpathy in CommunicationCustomer Service Orientation

Tools & Technologies

HIPAA Compliance TrainingBusiness Ethics Training

Certifications & Qualifications

Associates DegreeBSN PreferredCompact State RN License

Industry Keywords

Home HealthHospice CarePalliative CareMedicare CoveragePatient Satisfaction Goals

About the role

Key responsibilities & impact

Work remotely as a telephonic Registered Nurse
Report directly to the Manager, Care Management
Ensure continuity of care for patients transitioning into and out of services
Represent CenterWell Home Health for discharged patients and patients 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 other clinical data
Match patient needs to service-site locations or identify alternative services
Advocate throughout the referral process to ensure timely response and maximize referral-to-admission conversion
Follow up on and track referral and admission outcomes
Maintain awareness of department performance objectives and patient satisfaction goals
Assist admissions by serving as an ambassador for qualifying patients
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 regarding Home Health, Hospice, and Palliative Care Services
Assist with clinical eligibility review for alternate services
Participate in special projects and perform other assigned responsibilities

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 ability
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
Ability to train outside the advertised shift when needed
Availability for a rotating holiday schedule

Benefits

Comp & perks

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