Telephonic Nurse Care Manager

HumanaToledo, OH
$71,100 - $97,800Remote

About The Position

As a Telephonic Registered Nurse Care Manager, you will support patients by coordinating their care, assessing their healthcare needs, and helping ensure they receive the appropriate services and resources. You will be working fully remote and communicating with patients, caregivers, providers, and other members of the healthcare team. Your clinical experience will help you identify patient needs, provide education, and support safe care planning. You will manage care for patients with a variety of healthcare needs. You will complete telephonic assessments, review patient information, identify potential barriers to care, and help develop appropriate care plans based on each patient's individual needs. You will communicate with patients and caregivers to provide education, answer questions, and help them understand their plan of care. You will also collaborate with physicians, home health clinicians, hospitals, and other healthcare professionals to help ensure continuity of care. Your responsibilities may include reviewing clinical documentation, monitoring patient progress, identifying changes in condition, coordinating services, and helping patients access available healthcare resources. You will use your clinical judgment and experience to recognize potential concerns and escalate them. You will be expected to document patient interactions accurately and timely while maintaining confidentiality and following all applicable policies and regulatory requirements.

Requirements

  • An active and unrestricted Registered Nurse license.
  • 3–5 years of clinical acute care experience.
  • at least 2 years of home health experience.
  • Experience reviewing clinical information and using your nursing judgment to identify patient needs.
  • Experience working with electronic medical records and other computer-based healthcare systems.

Nice To Haves

  • Previous experience in care management, case management, utilization management, or telephonic nursing.
  • Experience coordinating care between hospitals, physicians, home health agencies, and other healthcare providers.
  • Experience working with patients who have chronic or complex medical conditions.
  • Strong knowledge of healthcare resources, care coordination, and transitions of care.
  • Experience working in a remote or telephonic clinical environment.

Responsibilities

  • Coordinate patient care
  • Assess patient healthcare needs
  • Ensure patients receive appropriate services and resources
  • Communicate with patients, caregivers, providers, and other members of the healthcare team
  • Identify patient needs
  • Provide education
  • Support safe care planning
  • Manage care for patients with a variety of healthcare needs
  • Complete telephonic assessments
  • Review patient information
  • Identify potential barriers to care
  • Develop appropriate care plans based on each patient's individual needs
  • Communicate with patients and caregivers to provide education, answer questions, and help them understand their plan of care
  • Collaborate with physicians, home health clinicians, hospitals, and other healthcare professionals to ensure continuity of care
  • Review clinical documentation
  • Monitor patient progress
  • Identify changes in condition
  • Coordinate services
  • Help patients access available healthcare resources
  • Recognize potential concerns and escalate them
  • Document patient interactions accurately and timely
  • Maintain confidentiality
  • Follow all applicable policies and regulatory requirements

Benefits

  • medical
  • dental
  • vision benefits
  • 401(k) retirement savings plan
  • time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
  • short-term and long-term disability
  • life insurance
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