Remote Care Manager - Telephonic RN for Post-Acute Care

Humana Inc; Little Rock (AR); Remote; USD 71,000 - 98,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) retirement savings

Paid time off

Company holidays

Personal holidays

Short-term disability

Long-term disability

Life insurance

Job summary

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 knowledgeable regarding post-acute levels of care, and an expert regarding CenterWell Home Health services including home health, hospice, and palliative care.

Qualifications

• Associates Degree required. BSN preferred.
• Compact state RN license required. Business needs may require additional state licensures.
• 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 problem-solve.
• Excellent verbal and interpersonal skills.
• Communication with empathy over the phone.

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 service site or provide alternatives.
• Maintain awareness of department performance objectives and patient satisfaction.
• Assist in admissions by acting as an ambassador for patients meeting admissions requirements.
• Focus on placing the right patient to the right care setting at the right time.
• Adhere to training including HIPAA privacy and company policies.
• Provide education regarding Home Health, Hospice, and Palliative Care Services.
• Support clinical eligibility review for alternate services.
• Participate in special projects and other responsibilities.

Skills

Nursing experience

Post-acute care

Empathy in communication

Interpersonal skills

Phone-based communication

Analytical problem-solving

Education

Associate Degree in Nursing

BSN preferred

Job description

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 knowledgeable regarding post-acute levels of care, and an expert regarding CenterWell Home Health services including home health, hospice, and palliative care.