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

Job Description:

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

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

The Clinical Care Coordinator helps 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 regarding CenterWell Home Health services including home health, hospice, and palliative care. The Clinical Care Coordinator is expected to communicate with the CenterWell 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 as CenterWell 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...