Care Manager, Telephonic Nurse

đź•’ vor 1 Tag

🇺🇸 Vereinigte Staaten – Remote

đź’µ $71.100 - $97.800 / Jahr

⏰ Vollzeit

🟡 Mittelstufe

đźź  Senior

đź‘” Manager

🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of CenterWell Senior Primary Care

CenterWell Senior Primary Care

1001 - 5000 Mitarbeiter

🏥 Gesundheitswesen

⚕️ Krankenversicherung

Healthcare • Healthcare Insurance

CenterWell Senior Primary Care ist ein Gesundheitsdienstleister, der sich auf die Bereitstellung persönlicher hausärztlicher Betreuung für Senioren spezialisiert hat. Das Unternehmen legt großen Wert auf einen umfassenden und ganzheitlichen Ansatz in der Gesundheitsversorgung, der die physischen, sozialen und emotionalen Bedürfnisse älterer Menschen berücksichtigt. Im Rahmen seines Serviceangebots umfasst CenterWell häusliche Gesundheitsdienste und Apothekenunterstützung, die die seniorengerechte Primärversorgung ergänzen. Die Organisation ist bestrebt, ihren Mitarbeitern Stabilität, inklusive Leistungen und Karrierewachstumschancen zu bieten, während sie eine Kultur des gegenseitigen Respekts und der Achtsamkeit pflegt. CenterWell ist eine Marke unter dem größeren Gesundheitsunternehmen Humana.

Beschreibung

• 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 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 provide alternative services • Advocate for customers throughout the referral process • Follow up on and track referral and admission outcomes • Meet department performance objectives and patient satisfaction goals • Assist the admissions process 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 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 • Report directly to the Manager, Care Management • Communicate with the CenterWell Home Health clinical team and facilitate patient follow-up

🎯 Anforderungen

• 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 • Empathetic communication 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 • Availability to work 40 hours per week over four 10-hour shifts • Availability for rotating holiday schedule • Availability to train outside the advertised shift when required • Occasional travel to Humana offices for training or meetings may be required

🏖️ Vorteile

• 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 • Company-provided training and meetings • Other benefits and opportunities

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