Job Description

Overview Become a part of our caring community and help us put health first Clinical call center. High volume. Fast paced. This is a part time position, scheduled 20 hours per week. The shift is Monday-Thursday from 5:30pm-8:30pm EST as well as Saturday from 3pm-11:30pm EST. 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. Responsibilities 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 Shift Information 20 hours per week. Weekdays after hours and weekends. Holiday coverage. Starting pay: $39.42 / hour plus shift differential for evenings and weekends. Internet/Work Setup Requirements At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel Travel: While this is a remote position, occasional travel to Humana\'s offices for training or meetings may be required. Benefits & Schedule Scheduled Weekly Hours: 20 Pay Range: $71,100 - $97,800 per year (full-time baseline; may vary by location and experience). Humana benefits: medical, dental, vision, 401(k) with employer match, paid time off, holidays, and other programs. Additional Information Application Deadline: 09-14-2025 About CenterWell 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. CenterWell is a Humana company focused on whole-person health and flexible scheduling options. Equal Opportunity Employer Humana does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. We comply with applicable laws and provide free language interpreter services. See accessibility resources for more information. #J-18808-Ljbffr Humana Inc

Job Tags

Bi-weekly pay, Full time, Part time, Work at office, Remote work, Home office, Flexible hours, Shift work, Weekend work, Saturday, Afternoon shift, Weekday work,

Similar Jobs