Care Manager- Telephonic Nurse Part Time

CenterWell

2d • $71,100 - $97,800 • Remote

About The Position

The Care Manager, Telephonic Nurse is a remote, work-from-home Registered Nurse role supporting patients discharged from CenterWell Home Health services or those who may need post-acute care. The position helps ensure continuity of care during transitions and requires knowledge of post-acute care levels and CenterWell Home Health services, including home health, hospice, and palliative care. The Care Manager communicates with CenterWell Home Health clinical teams and facilitates follow-up for patients who may need additional services.

This part-time position is scheduled for 20 hours per week, Saturday and Sunday from 10:00 a.m. to 8:30 p.m. Eastern Time. Training may take place on weekday evenings and during the day or evening on weekends. The role requires a rotating holiday schedule. Occasional travel to Humana offices for training or meetings may be required. The position reports to the Manager, Care Management.

Requirements

• Associate degree required; BSN preferred.
• Compact-state Registered Nurse (RN) license required; business needs may require obtaining additional state licenses.
• At least 3 years of post-acute nursing experience.
• Knowledge of home health, hospice, and palliative care services.
• Ability to learn and master information about client locations and services.
• Analytical and problem-solving ability.
• Excellent verbal and interpersonal skills.
• Ability to communicate empathetically over the phone.
• For work from home, provide internet service with at least 25 Mbps download and 10 Mbps upload speed; wireless, wired cable, or DSL is suggested. Humana may require an upgrade if needed for business needs.
• Work from a dedicated space without ongoing interruptions to protect member PHI and HIPAA information.
• Able to travel occasionally to Humana offices for training or meetings.

Nice To Haves

• BSN.
• Home health or hospice experience.

Responsibilities

• Represent CenterWell Home Health in supporting patients discharged from services or seeking post-acute services, and help them navigate care options, Medicare coverage, billing issues, and healthcare resources.
• Use available tools and methods to provide patients with options and education about service locations, specialties, post-acute care, and related questions; address issues such as location lookup, directions, and complaints.
• Determine appropriate clinical levels of care based on discussions, medical records, and other relevant clinical data.
• Match patient needs to service locations or identify and provide alternative services when an appropriate location is unavailable.
• Advocate for patients throughout the referral process to support timely responses and maximize referral-to-admission conversion; track referral and admission outcomes.
• Maintain awareness of department performance objectives, meet standards, and help achieve patient satisfaction goals.
• Assist with admissions by serving as an ambassador for patients who meet admission requirements.
• Help place each patient in the right care setting at the right time.
• Provide education about home health, hospice, and palliative care services.
• Help review clinical eligibility for alternative services.
• Complete mandatory training, including HIPAA privacy and Business Ethics and Compliance programs, and follow company policies and procedures.
• Participate in special projects and perform other responsibilities as assigned.

Benefits

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off and company and personal holidays.
• Paid parental and caregiver leave.
• Short-term and long-term disability.
• Life insurance.
• Other opportunities supporting whole-person well-being.

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: Associate degree