Care Manager, Telephonic Nurse

Job not on LinkedIn

🕒 Yesterday

🇺🇸 United States – Remote

💵 $71.1k - $97.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

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CenterWell Senior Primary Care

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

CenterWell Senior Primary Care is a healthcare provider focused on delivering personalized primary care to senior citizens. The company emphasizes a comprehensive and holistic approach to healthcare, addressing the physical, social, and emotional needs of older adults. As part of its service offerings, CenterWell includes home health services and pharmacy support to complement its senior primary care. The organization is committed to offering stability, inclusive benefits, and career growth opportunities for its employees while maintaining a culture of mutual respect and mindfulness. CenterWell is a brand under the larger healthcare entity, Humana.

📋 Description

• Ensure optimal continuity of care for patients transitioning into and out of services • Serve as a CenterWell Home Health representative for discharged patients and patients 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 locations or provide alternative services • Advocate for customers throughout the referral process • Follow up and track referral and admission outcomes • Support department performance objectives and patient satisfaction goals • Assist with admissions by serving as a patient ambassador • Provide education regarding Home Health, Hospice, and Palliative Care Services • Help with clinical eligibility review for alternate services • Participate in mandatory HIPAA, Business Ethics and Compliance, and company policy training • Participate in special projects and perform other assigned responsibilities • Report directly to the Manager, Care Management

🎯 Requirements

• Associates Degree required; BSN preferred • Current compact state RN license required • Business needs may require additional state licensures • 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 work space without ongoing interruptions to protect member PHI/HIPAA information • Availability for Monday-Friday 9am-5:30pm EST, every third weekend, rotating holidays, and training outside the advertised shift when needed

🏖️ Benefits

• 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