Care Manager, Telephonic Nurse

Job not on LinkedIn

🔥 0 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

• 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 patients with options and education regarding sites of service, specialty offerings, and post-acute care • Handle customer issues including location lookup, directions, and complaints • Determine clinical level of care using discussions, medical records, and other clinical data • Match patients to appropriate service locations or identify alternative services • Advocate for customers throughout the referral process • Track referral and admission outcomes • Support department performance objectives and patient satisfaction goals • Assist the admissions process as an ambassador for eligible patients • Provide education about Home Health, Hospice, and Palliative Care Services • Help with clinical eligibility review for alternate services • Communicate with the CenterWell Home Health clinical team • Participate in mandatory training, special projects, and other assigned responsibilities • Report directly to the Manager, Care Management

🎯 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 • 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 workspace without ongoing interruptions to protect member PHI/HIPAA information • Ability to work Monday-Friday 9am-5:30pm EST, every third weekend, and a rotating holiday schedule

🏖️ 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