CenterWell Senior Primary Care

Account Executive

• Call on physicians, hospitals, SNF management, discharge planners, and case managers within an assigned territory to promote home health care services
• Build and maintain referral source relationships
• Prepare business plans and maintain target lists
• Prioritize accounts following the market sales plan
• Gather and organize account-related information
• Provide input on important customer opportunities
• Report to a Market Executive of Sales

Home Health Account Executive

Nurse

• Provide skilled nursing care to patients in their homes under the direction of an RN
• Implement individualized care plans with patients, families, and the healthcare team
• Educate patients and families on disease management, treatment options, and self-care techniques
• Maintain accurate patient-care records, including visits, interventions, and outcomes
• Communicate promptly with patients, physicians, clinical managers, and healthcare team members regarding needs and status changes
• Participate in care coordination and discharge planning
• Work 40 scheduled hours per week

LPN, Skilled Home Visits

• Provide personalized, one-on-one skilled nursing care to patients in their homes under the direction of an RN
• Implement individualized care plans with patients, families, and the healthcare team
• Educate patients and families on disease management, treatment options, and self-care techniques
• Maintain accurate records of patient visits, interventions, and outcomes
• Communicate promptly with patients, physicians, clinical managers, and healthcare team members about needs and status changes
• Participate in care coordination activities and discharge planning
• Report to the Clinical Manager
• Support patients recovering from injury, illness, surgery, hospitalization, or managing chronic conditions

Licensed Practical Nurse – Skilled Visits

Medical Billing and Coding

• Provide medical coding expertise to support physicians and advanced practice providers
• Ensure medical-record documentation supports diagnostic and procedural coding
• Serve as the primary contact for clinician questions and issues related to documentation and coding
• Identify documentation improvement opportunities
• Partner with clinical and coding education teams to deliver education
• Perform quality assurance on post-visit reviews
• Manage special handling of mergers and acquisitions through problem-list cleanup and process training
• Collaborate with HEDIS leaders and champions to identify gaps and deficiencies
• Report to the Manager, Medical Coding

Medical Coding Professional

• Provide skilled nursing care to patients in their homes, including administering medications, performing wound care, and conducting patient assessments
• Develop and implement individualized care plans with physicians and other healthcare professionals
• Monitor patients' conditions and report changes
• Educate patients and families on disease management, medication, and treatment options
• Maintain accurate patient care records and coordinate with healthcare professionals
• Report patient care and condition progress to the patient's physician and Clinical Manager
• Oversee Home Health Aides and monitor completion of documentation
• Provide personalized one-on-one care to help patients regain independence at home

Home Health Registered Nurse

Director

• Direct, monitor, and support learning experience analysis, planning, design, and development
• Identify, analyze, and address complex business challenges through learning interventions
• Analyze contractual requirements and develop and implement an Annual Training Plan
• Consult on and design change management solutions to maximize learner capabilities and operational excellence
• Lead cross-functional efforts to ensure training interventions comply with federal contract obligations
• Lead a team of learning professionals conducting needs analysis and designing and developing learning experiences
• Utilize learning technology to implement performance improvement and professional development solutions
• Oversee consultation, design, and development processes using a customer-centric approach
• Analyze complex business problems using internal and external data
• Identify subject matter experts and produce learning solution recommendations and plans
• Conduct needs analysis to determine appropriate and relevant solutions
• Ensure learning interventions align with corporate vision and apply Design Thinking and Adult Learning Theory
• Identify KPIs and develop measurement strategies to validate business impact
• Select, develop, and evaluate personnel
• Advise executives on functional learning strategies
• Track and analyze training program effectiveness
• Exercise independent judgment on complex issues with minimal supervision

Associate Director, Learning Design

Physician Assistant

• Serve as the first contact for patient care
• Perform administrative responsibilities in addition to patient care
• Discuss symptoms and obtain vital signs
• Administer medications and vaccines
• Perform phlebotomy and collect specimens
• Perform diagnostic screening tests
• Sterilize and clean equipment
• Maintain examination rooms
• Document information in the electronic medical records system
• Collaborate with Physicians and Advanced Practice Providers
• Deliver direct patient care dependent on active certification
• Work within defined policies, procedures, expectations, and quality standards
• Travel occasionally to Humana offices for training or meetings

Virtual Medical Assistant

Representative

• Address incoming telephone, digital, or written inquiries
• Perform routine administrative, clerical, operational, customer support, and computational tasks
• Resolve customer issues, complaints, and inquiries while maintaining customer satisfaction
• Provide positive member experiences through active listening and effective communication
• Self-manage with minimal supervision while maintaining quality standards and following established policies and guidelines
• Support the Pharmacy flexible work model
• Oversee education and enrollment processes
• Provide live chat support
• Provide inbound call support for medication refills, order status, and similar inquiries
• Provide outbound call support

Inbound Contacts Representative

Pharmacist

• Evaluate the suitability of pharmacotherapy for high-risk patients with chronic conditions using evidence-based medicine and clinical judgment
• Execute clinical protocols in accordance with organizational and state regulatory requirements
• Optimize drug coverage benefits through preferred formulary products, lower-cost alternatives, and home delivery pharmacy
• Collaborate with physicians, nurses, and other healthcare professionals to optimize patient care
• Participate in multidisciplinary high-risk rounds and adjust treatment plans
• Counsel patients and communicate complex medical information to patients and healthcare providers
• Provide disease-state education on medication use and self-management
• Engage in quality improvement initiatives focused on medication safety and efficacy
• Perform post-discharge medication reconciliation for high-risk transition-of-care patients
• Document clinical activity in the clinic EMR and other pharmacy or clinical management systems
• Support CMS Stars and HEDIS quality measures
• Maintain accurate documentation of clinical interventions and patient care activities
• Conduct in-service education and training for healthcare staff
• Develop and share educational materials related to pharmacotherapy
• Stay current with pharmacotherapy advancements and clinical guidelines
• Consult healthcare providers on complex medication management issues
• Respond to Primary Care Organization requests within the pharmacist’s scope of practice
• Implement targeted initiatives and priorities directed by pharmacy leadership according to best practices and regulatory standards

Senior Integrated Clinic Pharmacist

Manager

• 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

Care Manager, Telephonic Nurse

Physician

• Complete regular chart reviews
• Coordinate monthly meetings
• Serve as a resource for advanced practice providers to ensure quality patient care
• Collaborate with clinical leaders on quality of care, outcome data, procedures, and records issues
• Support virtual wraparound services for patients who cannot see their own PCP
• Report to the Associate Director

Collaborating Physician

Designer

• Lead service design projects improving patient, customer, associate, and caregiver experiences across core businesses
• Work within a pod structure aligned to a specific CenterWell line of business
• Translate research and stakeholder insights into service concepts, experience strategies, and actionable recommendations
• Align people, processes, technology, and data to improve service delivery
• Support planning and facilitation of discovery research, partner interviews, journey-mapping sessions, and workshops
• Understand needs and identify opportunities for service improvement
• Create current- and future-state service and experience blueprints
• Clarify frontstage and backstage interactions, handoffs, dependencies, pain points, and required people, process, technology, and data elements
• Summarize qualitative and quantitative inputs and identify connections across people, processes, technology, and data
• Ask questions and translate findings into clear opportunities and recommendations
• Coordinate contributors, manage dependencies, and deliver work across multiple workstreams
• Occasionally travel to Humana offices for training or meetings

Senior Professional Service Designer

• 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

Care Manager – Telephonic Nurse, Part Time

• Provide personalized, one-on-one skilled nursing care to patients in their homes under the direction of an RN
• Implement individualized care plans with patients, families, and the healthcare team
• Educate patients and families on disease management, treatment options, and self-care techniques
• Maintain accurate documentation of patient visits, interventions, and outcomes
• Communicate promptly with patients, physicians, clinical managers, and other healthcare team members regarding needs and status changes
• Participate in care coordination and discharge planning
• Report to the Clinical Manager
• Support patient recovery, rehabilitation, and independence in the home setting

Home Health Licensed Practical Nurse

Therapist

• Plan and administer prescribed physical therapy treatment for patients in their homes
• Assess and document patients' physical strengths
• Develop and implement rehabilitation programs consistent with the physician's Plan of Treatment and patient-team goals
• Provide PTAs and Home Health Aides with written care instructions
• Oversee PTA and Home Health Aide performance and documentation
• Document patient observations, interventions, and evaluations
• Report patient progress to physicians, Clinical Manager, care team, patients, and families
• Submit evaluations, plans, progress notes, and discharge summaries