Care Manager – Telephonic Nurse

🔥 4 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 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 lookups, directions, and complaints • Determine the clinical level of care using discussions, medical records, and other clinical data • Match patient needs to service locations or provide alternative services when needed • Advocate for patients throughout the referral process • Follow up on and track referral and admission outcomes • Meet department performance objectives and patient satisfaction goals • Assist with admissions by serving 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 about Home Health, Hospice, and Palliative Care Services • Support clinical eligibility reviews for alternate services • Participate in special projects and perform other assigned responsibilities • Communicate with CenterWell Home Health clinical teams and facilitate patient follow-up • Report directly to the Manager, Care Management

🎯 Requirements

• Associate's Degree required • BSN preferred • Compact state RN license required • Additional state licensures may be required based on business needs • At least 3 years of post-acute nursing experience • Home health or hospice experience preferred • Knowledge of home health, hospice, and palliative care services • Ability to learn and master client locations and services • Analytical and problem-solving ability • Excellent verbal and interpersonal skills • Ability to communicate with empathy over the phone • Internet service with minimum 25 Mbps download and 10 Mbps upload speeds • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information • Availability for Monday-Friday 9:00am-5:30pm EST, required weekend coverage every third weekend, and rotating holidays • Ability to train outside the advertised shift when needed • Ability to accommodate schedule and shift changes based on patient care and business demands

🏖️ 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 • Training and meeting opportunities