Telephonic RN Care Manager

New

Skills

Problem-solving Skills Time Management

CenterWell Senior Primary Care, a division of Humana, is seeking a dedicated Telephonic Nurse Care Manager to support senior patients after hours and on weekends. This part-time, remote position focuses on providing comprehensive and holistic care navigation, post-acute services, and patient advocacy. Join a team that values mutual respect, professional development, and a culture of inclusivity while delivering exceptional healthcare to older adults.

Key Responsibilities
  • Serve as the primary CenterWell Home Health representative for patients discharged from service or needing post-acute care.
  • Navigate and educate patients on healthcare options, Medicare coverage, and post-acute service offerings.
  • Handle a variety of patient inquiries, including service site recommendations, complaints, and clinical level of care determinations.
  • Advocate for patients throughout the referral and admission process, ensuring timely and appropriate care placement.
  • Track referral outcomes, maintain performance standards, and support department objectives for patient satisfaction.
  • Assist with admissions and provide education on Home Health, Hospice, and Palliative Care services.
  • Participate in clinical eligibility reviews and contribute to special projects as assigned.
Required Skills & Qualifications
  • Associate's Degree in Nursing (BSN preferred)
  • Active RN license in a compact state (additional state licensure may be required)
  • Minimum of 3 years post-acute nursing experience; home care or hospice experience preferred
  • Current CPR certification
  • Strong knowledge of home health, hospice, and palliative care services
  • Excellent verbal, interpersonal, analytical, and problem-solving skills
  • Effective time management and ability to quickly learn new information
  • Demonstrated empathy and professionalism in telephonic communication
  • Fluent in reading, writing, and speaking English

Job Type: Remote

Salary: Not Disclosed

Experience: Entry

Duration: 12 Months

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