Become a part of our caring community and help us put health first
Clinical calls. Fast paced call center environment.
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 theCenterWell 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 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
- Saturday and Sunday 8a-6 : 30p
- starting pay $34 / hour plus shift differential for evenings and weekends
RN licensure in a compact state and resides in a compact state.
Scheduled Weekly Hours
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting.
The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$69,800 - $96,200 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, Humana ) offers competitive benefits that support whole-person well-being.
Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.
Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
About CenterWell Home Health : CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization.
Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
About CenterWell, a Humana company : CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients.
As part of Humana Inc. (NYSE : HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career.
We proudly employ more than 30,000 clinicians who are committed to putting health first for our teammates, patients, communities and company.
By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran.
It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements.
This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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