Remote Care Manager- Telephonic Nurse PT- Monday thru Friday 7a-11a (20 hours)

CenterWell

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Req Number: R-320455
Category: Nursing and Social Workers
Posted Date: October 4, 2023
Location Type: Remote

Work Location: Atlanta, GA, US, Remote

Description

 

High volume, fast-paced clinical call center environment.

 

Responsibilities

 

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.

               

Required Qualifications

  • Licensed Registered Nurse (RN) with compact state licensure in state of residence with no disciplinary action
  • 3 – 5 years of clinical acute care experience
  • Comprehensive knowledge of Microsoft Office applications including Word, Excel, Outlook, Teams and One Note
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences
  • High speed internet (no hotspot, DSL or satellite)

 

Preferred Qualifications

 

  • Experience with case management, discharge planning and patient education for adult acute care
  • Managed care experience
  • Home Health Care experience
  • Telephonic triage experience
  • Bachelor’s degree
  • HCHB experience preferred

 

Additional Information:

  • 20 hours per week
  • Monday through Friday 7am-11am
  • starting pay $34 / hour plus shift differential for evenings and weekends
  • High volume, fast-paced clinical call center environment.

 

Scheduled Weekly Hours

 

20