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Care Manager – Telephonic Nurse
CenterWell Senior Primary Care. Ensure continuity of care for patients transitioning into and out of 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 advocating for patients and ensuring continuity of care. Proficient in navigating healthcare options, managing referrals, and maintaining compliance with HIPAA and company policies.
Highest-signal resume keywords
Post-Acute Nursing ExperienceCompact State RN LicenseHome Health ExperienceAnalytical Problem-Solving AbilityExcellent 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
Patient Care CoordinationClinical Level AssessmentReferral ManagementHealthcare NavigationPatient Education
Soft Skills
Interpersonal SkillsEmpathy in CommunicationCustomer Service Orientation
Tools & Technologies
HIPAA Compliance TrainingHealthcare Resource Management
Certifications & Qualifications
Associate's DegreeBSN Preferred
Industry Keywords
Home Health ServicesHospice CarePalliative CareMedicare CoveragePatient Satisfaction Goals
About the role
Key responsibilities & impact- Ensure continuity of care for patients transitioning into and out of services
- Serve as a CenterWell Home Health representative for discharged patients and patients 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 lookups, directions, and complaints
- Determine the clinical level of care using discussions, medical records, and other clinical data
- Match patient needs to service locations or provide alternative services when needed
- Advocate for patients throughout the referral process
- Follow up on and track referral and admission outcomes
- Meet department performance objectives and patient satisfaction goals
- Assist with admissions by serving as an ambassador for eligible patients
- Place the right patient in the right care setting at the right time
- Complete mandatory HIPAA, business ethics, compliance, and company policy training
- Follow all company policies and procedures
- Educate patients about Home Health, Hospice, and Palliative Care Services
- Support clinical eligibility reviews for alternate services
- Participate in special projects and perform other assigned responsibilities
- Communicate with CenterWell Home Health clinical teams and facilitate patient follow-up
- Report directly to the Manager, Care Management
Requirements
What you’ll need- Associate's Degree required
- BSN preferred
- Compact state RN license required
- Additional state licensures may be required based on business needs
- At least 3 years of post-acute nursing experience
- Home health or hospice experience preferred
- Knowledge of home health, hospice, and palliative care services
- Ability to learn and master client locations and services
- Analytical and problem-solving ability
- Excellent verbal and interpersonal skills
- Ability to communicate with empathy over the phone
- Internet service with minimum 25 Mbps download and 10 Mbps upload speeds
- Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
- Availability for Monday-Friday 9:00am-5:30pm EST, required weekend coverage every third weekend, and rotating holidays
- Ability to train outside the advertised shift when needed
- Ability to accommodate schedule and shift changes based on patient care and business demands
Benefits
Comp & perks- Medical benefits
- Dental benefits
- 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
- Work-from-home arrangement
- Training and meeting opportunities