Care Manager – Telephonic Nurse, Part Time

This is a fully remote position, open to applicants in United States.

📋 Description

• Act as a telephonic Registered Nurse and Care Manager for CenterWell Home Health.

• Ensure seamless care for patients transitioning into and out of services.

• Provide insights on post-acute care levels and the services offered by CenterWell, including home health, hospice, and palliative care.

• Communicate effectively with the CenterWell Home Health clinical team to facilitate patient follow-ups.

• Support discharged patients and those requiring post-acute services.

• Guide patients through healthcare options, post-acute care services, Medicare coverage, billing inquiries, and healthcare resources.

• Offer patients information on service-site options, specialty services, directions, and related educational materials.

• Address customer issues, complaints, and assist with location searches.

• Assess clinical levels of care using discussions, medical records, and clinical data.

• Align patients with suitable service locations or alternative services.

• Advocate throughout the referral process to enhance referral-to-admission conversion rates.

• Monitor referral and admission outcomes.

• Contribute to departmental performance objectives and patient satisfaction targets.

• Assist with admissions as a patient ambassador.

• Educate about Home Health, Hospice, and Palliative Care Services.

• Aid in clinical eligibility assessments for alternative services.

• Complete required training and adhere to company policies and procedures.

• Engage in special projects and carry out other assigned duties.

⛳️ Requirements

• Associate's Degree is mandatory.

• Bachelor of Science in Nursing (BSN) is preferred.

• A compact state RN license is required; additional state licenses may be necessary depending on business requirements.

• A minimum of 3 years of post-acute nursing experience is essential.

• Experience in home health or hospice is preferred.

• Familiarity with home health, hospice, and palliative care services is important.

• Capability to learn and master client locations and services.

• Strong analytical and problem-solving skills.

• Exceptional verbal and interpersonal communication abilities.

• Empathetic phone communication skills.

• Minimum internet speed of 25 Mbps for download and 10 Mbps for upload is required.

• A dedicated workspace free from interruptions to safeguard member PHI/HIPAA information.

• Ability to work a designated 20-hour rotating schedule and holiday shifts.

• Availability for weekday evening and weekend daytime/evening training sessions.

🏝️ Benefits

• Medical, dental, and vision insurance.

• 401(k) retirement savings plan.

• Paid time off.

• Company holidays and personal holidays.

• Paid parental and caregiver leave.

• Short-term and long-term disability coverage.

• Life insurance.

• Additional whole-person wellness and healthcare opportunities.

• Work-from-home arrangement.

• Occasional travel to Humana offices for training or meetings.