Care Manager, Telephonic Nurse – Part Time

Role Overview

• 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