Care Manager, Telephonic Nurse

🔥 14 minutes 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

• Ensure 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 offerings, Medicare coverage, billing issues, and healthcare resources • Provide patients with 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 the appropriate clinical level of care using discussions, medical records, and other clinical data • Match patient needs to service locations or provide alternative services when unavailable • Advocate for customers throughout the referral process to ensure timely responses and maximize referral-to-admission conversion • Follow up on and track referral and admission outcomes • Monitor department performance objectives and patient satisfaction goals • Assist with admissions by acting as an ambassador for eligible patients • Place the right patient in the right care setting at the right time • Complete mandatory training covering HIPAA, business ethics and compliance, and company policies • Provide education about home health, hospice, and palliative care services • Assist with clinical eligibility reviews for alternate services • Participate in special projects and perform other assigned responsibilities • Report directly to the Manager, Care Management

🎯 Requirements

• Associate's Degree required; BSN preferred • Compact state RN license required • May need to obtain additional state licensures based on business needs • At least 3 years of 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 ability • Excellent verbal and interpersonal skills • Ability to communicate with empathy over the phone • Must read, write, and speak fluent English • Current CPR certification • Minimum 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, 9:00 a.m.-5:30 p.m. EST, with weekend coverage every third weekend • Ability to work a rotating holiday schedule • Availability for 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

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