Care Manager, Telephonic Nurse

Humana Inc; Madison (WI); À distance; USD 71 000 - 98 000; Plein temps

Avantages offerts par ce poste

Medical, dental and vision benefits

401(k) retirement savings plan

Paid time off & holidays

Parental and caregiver leave

Résumé du poste

Humana Inc. is seeking a Telephonic Care Manager (Registered Nurse) to support patients transitioning through post-acute care in a remote, full-time role.

You'll coordinate home health, hospice, and palliative care services, acting as a patient advocate to ensure timely referrals and high satisfaction. The role includes potential travel for training and requires an RN license, an associate degree, and preferred BSN with 3+ years post-acute experience.

Qualifications

• Associates Degree required. BSN preferred.
• Compact state RN license required.
• At least 3 years post-acute nursing experience; home health or hospice preferred.
• Knowledge of home health, hospice, and palliative care services.
• Excellent verbal and interpersonal skills; empathy over the phone.

Responsabilités

• Be a CenterWell Home Health representative supporting patients discharged from service or needing post-acute services.
• Make clinical level of care determinations and match needs to service sites; provide alternatives when needed.
• Educate on Home Health, Hospice, and Palliative Care Services and navigate post-acute options.
• Assist in admissions by acting as an ambassador for patients meeting admissions requirements.
• Follow HIPAA privacy and company policies; participate in required training.

Connaissances

RN license

Post-acute nursing

Home health experience

Hospice experience

Empathy over the phone

Formation

Associate degree

BSN preferred

Description du poste

Become a part of our caring community

Shift/Availability details:

• This is a full time position scheduled for 40 hours a week over 4 days for 10 hour shifts. Every other week the schedule will be as follows:

-Week 1 schedule: Monday, Thursday, Friday & Saturday from 10:30am-9pm EST.

-Week 2 schedule: Sunday, Tuesday, Thursday & Friday from 10:30am-9pm EST.

• Required to work a rotating holiday schedule.

• Available to train on days or times outside of the shift advertised.

• Shift/Availability changes may be required based on patient care needs and business demands.

This is a work-from-home telephonic Registered Nurse position.

As a Care Manager, Telephonic Nurse , you will report directly to the Manager, Care Management. You will help to ensure optimal continuity of care for patients transitioning into and out of our services. You will be responsible for being knowledgeable regarding post-acute levels of care, and an expert regarding CenterWell Home Health services including home health, hospice, and palliative care. You will communicate with the CenterWell Home Health clinical team and help facilitate patient follow-up for patients in need of (additional) services.

Essential Functions:

• 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

Requirements:

• 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.

• Analytical and can problem-solve.

• 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.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$71,100 - $97,800 per year

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and 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 and many other opportunities.

Application Deadline: 10-27-2026

About us

About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer atCenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources