Care Manager, Telephonic Nurse

Job not on LinkedIn

🔥 1 minute ago

🇺🇸 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

• 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

🎯 Requirements

• 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

🏖️ 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 • Personal wellness support • Smart healthcare decision support • Work-from-home arrangement • Company-provided training and meetings • Other benefits and opportunities