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Care Manager – Telephonic Nurse, Part Time
CenterWell Senior Primary Care. Serve as a telephonic Registered Nurse and Care Manager for CenterWell Home Health .
About the role
Key responsibilities & impact- Serve as a telephonic Registered Nurse and Care Manager for CenterWell Home Health
- Ensure continuity of care for patients transitioning into and out of services
- Provide expertise on post-acute levels of care and CenterWell home health, hospice, and palliative care services
- Communicate with the CenterWell Home Health clinical team and facilitate patient follow-up
- Support discharged patients and patients needing post-acute services
- Navigate healthcare options, post-acute care services, Medicare coverage, billing issues, and healthcare resources
- Provide patients with service-site options, specialty offerings, directions, and related education
- Handle customer issues, complaints, and location lookups
- Determine clinical level of care using discussions, medical records, and clinical data
- Match patients to appropriate service locations or alternative services
- Advocate throughout the referral process and maximize referral-to-admission conversion
- Track referral and admission outcomes
- Support department performance objectives and patient satisfaction goals
- Assist with admissions as a patient ambassador
- Provide education about Home Health, Hospice, and Palliative Care Services
- Assist with clinical eligibility reviews for alternative services
- Complete mandatory training and follow company policies and procedures
- 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 client locations and services
- Analytical and problem-solving ability
- Excellent verbal and interpersonal skills
- Empathetic phone communication
- Minimum home internet speed of 25 Mbps download and 10 Mbps upload
- Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
- Ability to work the specified 20-hour rotating schedule and holiday schedule
- Ability to complete weekday evening and weekend daytime/evening training
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
- Other whole-person wellness and healthcare opportunities
- Work-from-home arrangement
- Occasional travel to Humana offices for training or meetings