Remote Care Manager Nurse – Telephonic Post-Acute Care

Humana, Inc.

Boston (MA)

Remote

USD 71,000 - 98,000

Full time

2 days ago
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Benefits offered by this job

Medical benefits
Dental and vision benefits
401(k) retirement savings plan
Paid time off and holidays
Disability and life insurance

Job summary

Humana, Inc. is seeking a Telephonic Registered Nurse Care Manager to support patients transitioning into and out of CenterWell Home Health services.

You will collaborate with the clinical team to ensure appropriate post-acute care and follow-up, with responsibilities spanning care coordination, patient education, and referral management. The role requires an Associate degree (BSN preferred), an active compact RN license, and 3+ years in post-acute nursing.

Qualifications

  • Analytical and can problem-solve.
  • Excellent verbal and interpersonal skills.
  • Must read, write and speak fluent English.
  • Current CPR certification.

Responsibilities

  • 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 and post-acute offerings, Medicare coverage, billing issues, and accessing healthcare resources.
  • Make clinical level of care determination based on discussion, medical records, and other clinical data; match needs to a service site location.
  • Maintain awareness of department performance objectives and ensure patient satisfaction goals are met.
  • Assist in admissions by acting as an ambassador for patients who meet admissions requirements.
  • Place the right patient to the right care setting at the right time.
  • Adhere to HIPAA and company training programs and policies.

Skills

Analytical
Empathy
English fluency
CPR certification

Education

Associates Degree
BSN preferred

Job description

Humana, Inc. is seeking a Telephonic Registered Nurse Care Manager to support patients transitioning into and out of CenterWell Home Health services.

You will collaborate with the clinical team to ensure appropriate post-acute care and follow-up, with responsibilities spanning care coordination, patient education, and referral management. The role requires an Associate degree (BSN preferred), an active compact RN license, and 3+ years in post-acute nursing.

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