Care Manager, Telephonic Nurse

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🕒 5 dias atrás

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $71.100 - $97.800 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

👻 Score fantasma 0%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of CenterWell Senior Primary Care

CenterWell Senior Primary Care

1001 - 5000 funcionários

🏥 Saúde

⚕️ Seguro de Saúde

Healthcare • Healthcare Insurance

A CenterWell Senior Primary Care é um provedor de saúde focado em oferecer cuidados primários personalizados para idosos. A empresa enfatiza uma abordagem abrangente e holística para os cuidados de saúde, atendendo às necessidades físicas, sociais e emocionais dos idosos. Como parte de seus serviços, a CenterWell inclui assistência domiciliar e suporte farmacêutico para complementar seus cuidados primários para idosos. A organização está comprometida em oferecer estabilidade, benefícios inclusivos e oportunidades de crescimento profissional para seus colaboradores, mantendo uma cultura de respeito mútuo e atenção plena. A CenterWell é uma marca sob o grande grupo de saúde, Humana.

Descrição

• Support patients discharged from CenterWell Home Health services or needing post-acute services • Navigate healthcare options, post-acute care services, Medicare coverage, billing issues, and healthcare resources • Provide patients with options and education regarding sites of service, specialty offerings, and post-acute care • Handle customer issues including location lookup, directions, and complaints • Determine clinical level of care using discussions, medical records, and other clinical data • Match patients to appropriate service locations or identify alternative services • Advocate for customers throughout the referral process • Track referral and admission outcomes • Support department performance objectives and patient satisfaction goals • Assist the admissions process as an ambassador for eligible patients • Provide education about Home Health, Hospice, and Palliative Care Services • Help with clinical eligibility review for alternate services • Communicate with the CenterWell Home Health clinical team • Participate in mandatory training, special projects, and other assigned responsibilities • Report directly to the Manager, Care Management

🎯 Requisitos

• 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 • 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 • Ability to work Monday-Friday 9am-5:30pm EST, every third weekend, and a rotating holiday schedule

🏖️ Benefícios

• 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 • Work-from-home arrangement • Occasional travel to Humana offices for training or meetings

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