Care Manager, Telephonic Nurse

Job not on LinkedIn

🔥 2 hours ago

🇺🇸 United States – Remote

💵 $71.1k - $97.8k / year

⏱ Part Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Work remotely as a telephonic Registered Nurse • Report directly to the Manager, Care Management • Ensure continuity of care for patients transitioning into and out of services • Represent CenterWell Home Health for discharged patients and patients needing post-acute services • Navigate healthcare options, post-acute care offerings, 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 identify alternative services • Advocate throughout the referral process to ensure timely response and maximize referral-to-admission conversion • Follow up on and track referral and admission outcomes • Maintain awareness of department performance objectives and patient satisfaction goals • Assist admissions by serving as an ambassador for qualifying patients • Place the right patient in the right care setting at the right time • Complete mandatory HIPAA, Business Ethics and Compliance, and company policy training • Provide education 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

🎯 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 • 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 • Ability to train outside the advertised shift when needed • Availability for a rotating holiday schedule

🏖️ Benefits

• Medical, dental and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Personal wellness and smart healthcare decision support • Occasional travel to Humana's offices for training or meetings