Become a part of our caring community and help us put health first

　　Clinical call center. High volume. Fast paced.

　　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 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-4:30p

　　additional 4 hours (5p-9p) on one weekday evening to meet minimal hour requirements

　　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

　　20

　　About us

　　About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive in-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.

　　Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources