CareManager,TelephonicNurse

# **Become a part of our caring community** **Shift/availability details:** * **Full time 40 hours a week.** * **The schedule will be 8 hour shifts, Monday-Friday between the hours of 9am - 5:30pm EST.** * **Required weekend coverage every 3rd weekend from 9am - 5:30pm EST. When working weekends, it will allow for off days during the week.** * **Required to work a rotating holiday schedule.** 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 tr