Care Manager – Telephonic Nurse

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $71.1k - $97.8k / year

⏱ Part 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 those 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 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 • Support department performance objectives and patient satisfaction goals • Assist with admissions as an ambassador for eligible patients • Provide education regarding Home Health, Hospice, and Palliative Care Services • Help with clinical eligibility review for alternate services • Participate in special projects and perform other assigned responsibilities • Complete mandatory HIPAA, Business Ethics and Compliance, and company policy training • 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 • 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 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 • Availability for up to 19 hours per week, Monday-Friday between 5pm-7am ET and all day Saturday and Sunday • Availability for 3 weekend shifts per month and 3 holidays per year • Availability to train outside the advertised shift times

🏖️ Benefits

• Paid time off • 401(k) retirement savings plan • Employee assistance program • Business travel and accident benefits