Care Manager, Telephonic Nurse – Part Time

Remote Full-time
Job Description: • help to ensure optimal continuity of care for patients transitioning into and out of our services. • be knowledgeable regarding post-acute levels of care, and an expert regarding CenterWell Home Health services including home health, hospice, and palliative care. • communicate with the CenterWell Home Health clinical team and help facilitate patient follow-up for patients in need of (additional) services. • 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. Requirements: • Associate's degree required. BSN preferred. • compact state RN license required. • Business needs may require additional state licensures be obtained. • At least 3 years post-acute experience. • Home health or hospice experience preferred. • Nursing background working across multiple areas of post-acute care. • Nursing experience in post-acute care. • Current CPR certification. • Knowledge of home health, hospice, and palliative care services. • Ability to learn and master information related to locations and services of clients. • Must read, write and speak fluent English. Benefits: • medical, dental and vision benefits • 401(k) retirement savings plan • time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave) • short-term and long-term disability • life insurance • many other opportunities
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