Care Manager, Telephonic Nurse

🕒 il y a 1 jour

🇺🇸 États-Unis – Télétravail

💵 $71 100 - $97 800 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of CenterWell Senior Primary Care

CenterWell Senior Primary Care

1001 - 5000 employés

🏥 Santé

⚕️ Assurance santé

Healthcare • Healthcare Insurance

CenterWell Senior Primary Care est un prestataire de soins de santé dédié à offrir des soins primaires personnalisés aux personnes âgées. L'entreprise met l'accent sur une approche globale et holistique de la santé, abordant les besoins physiques, sociaux et émotionnels des seniors. Dans le cadre de ses services, CenterWell inclut des services de santé à domicile et un soutien pharmaceutique pour compléter ses soins primaires pour les seniors. L'organisation s'engage à offrir à ses employés une stabilité, des avantages inclusifs, et des opportunités d'évolution de carrière tout en maintenant une culture de respect mutuel et de pleine conscience. CenterWell est une marque appartenant à la plus grande entité de soins de santé, Humana.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

• 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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