Care Manager, Telephonic Nurse-Part Time After Hours & Weekends

Humana Inc; New Braunfels (TX); Remote; USD 71,000 - 98,000; Part time

Job summary

Join a forward-thinking company dedicated to enhancing the health and well-being of individuals. In this part-time role, you will serve as a Clinical Care Coordinator, guiding patients through their healthcare journey and ensuring they receive the necessary post-acute services. Your expertise in home health, hospice, and palliative care will be crucial as you advocate for patients and facilitate their access to vital resources. This position offers the flexibility of remote work while allowing you to make a significant impact in the lives of others. If you are passionate about patient care and possess strong communication and analytical skills, this opportunity is perfect for you.

Benefits

Health benefits effective day 1

Paid time off

401(k) retirement savings plan

Tuition assistance

Career development opportunities

Qualifications

• 3+ years of post-acute care experience required.
• RN license in a compact state is mandatory.
• Current CPR certification is necessary.

Responsibilities

• Support patients transitioning from services and navigate healthcare options.
• Make clinical level of care determinations based on medical records.
• Educate patients on Home Health, Hospice, and Palliative Care services.

Skills

Post-Acute Care

Home Health Services

Hospice Care

Palliative Care

Analytical Skills

Problem-Solving Skills

Communication Skills

Time Management

Education

Associates Degree

BSN

Job description

Become a part of our caring community and help us put health first

This position is part time 20 hours/week, scheduled weekdays after business hours and weekends.

TheClinical Care Coordinatorhelps to ensure optimal continuity of care for patients transitioning into and out of our services. They are responsible for being highly knowledgeable regarding post-acute levels of care, and an expert regardingCenterWell Home Healthservices including home health, hospice, and palliative care. The Clinical Care Coordinator is expected to communicate with theCenterWell Home Health clinical team and help facilitate timely patient follow-up for patients in need of (additional) services when appropriate. The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a work-from-home telephonic nurse position.

Essential Functions:

• Act asCenterWell Home Health representative in supporting patients who have been discharged from service or for those who may need post-acute services. Able to navigate healthcare options; care services post-acute offerings, Medicare coverage, billing issues, as well as accessing healthcare resources.

• Utilize 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. Appropriately handle a variety of customer issues including location lookup, directions, and complaints.

• Makes clinical level of care determination based on discussion, medical records, and any other pertinent clinical data. Matches these needs to a service site location or, if not available, look up and provide alternative services. Act as 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.

• Maintains awareness and orientation to department performance objectives, meets standards, and assures patient satisfaction goals are met.

• Assists 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

• Adheres 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.

• Reviews and adheres to all Company policies and procedures.

• Provide education regarding Home Health, Hospice, and Palliative Care Services.

• Assist with clinical eligibility review for alternate services

• Participates in special projects and performs other duties as assigned.

Use your skills to make an impact

Required Skills/Experience:

• Associates Degree required. BSN preferred.

• RN license in a compact state is required. May be required to obtain licensure in additional states as dictated by business needs.

• At least 3 years post-acute experience. Home Care or hospice experience preferred.

• Nursing background working across multiple areas of post-acute care preferred.

• Extensive nursing experience in post-acute care preferred.

• Current CPR certification.

• Good working knowledge of home health, hospice, and palliative care services preferred.

• Good time management skills.

• Ability to learn and master information related to locations and services of clients.

• Excellent analytical and problem-solving skills.

• Excellent verbal and interpersonal skills.

• Able to communicate effectively with empathy over the phone and while interacting with others.

• Must read, write and speak fluent English.

Additional Information:

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.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

CenterWell Home Health offers a variety of benefits to promote the best health and well-being of our employees and their families. Our competitive and flexible benefits surround you with support the same way you do for our patients and members, including:

• Health benefits effective day 1
• Paid time off, holidays, and jury duty pay
• Recognition pay
• 401(k) retirement savings plan with employer match
• Tuition assistance
• Scholarships for eligible dependents
• Caregiver leave
• Employee charity matching program
• Network Resource Groups (NRGs)
• Career development opportunities

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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

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 creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

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.