Care Manager- Telephonic Nurse - Part Time Evenings & Weekends

• Be a CenterWell Home Health representative in supporting patients who have been discharged from service or for those who may need post-acute services. Navigate healthcare options; care services post-acute offerings, Medicare coverage, billing issues, and accessing healthcare resources.

• Use a variety of tools and methods to quickly provide patient options and education including but not limited to sites of service, specialty offerings, post-acute care, and other related questions. Handle a variety of customer issues including location lookup, directions, and complaints.

• Make clinical level of care determination based on discussion, medical records, and any other important clinical data. Match these needs to a service site location or, if not available, look up and provide alternative services. Be a customer advocate throughout the referral process to ensure timely response and to maximize referral to admission conversion rate. Follow-up and track referral and admission outcomes.

• Maintain awareness and orientation to department performance objectives, meets standards, and assures patient satisfaction goals are met.

• Assist in the admissions process by acting as an ambassador for patients who meet the admissions requirements.

• Focus on placing the right patient to the right care setting at the right time.

• Adhere to and participates in Company's mandatory training which includes but is not limited to HIPAA privacy program/practices, Business Ethics and Compliance programs/practices, and Company policies and procedures.

• Review and adhere to all Company policies and procedures.

• 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 responsibilities as assigned.

Use your skills to make an impact

• Associates Degree required. BSN preferred.

• We require a compact state RN license. Business needs may require additional state licensures be obtained.

• At least 3 years post-acute nursing experience. Home health or hospice experience preferred.

• Knowledge of home health, hospice, and palliative care services.

• Learn and master information related to locations and services of clients.

•

• Excellent verbal and interpersonal skills.

• Communication with empathy over the phone.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.