
location_onCarlos Gilbert Elementary School, 300, Griffin Street, Santa Fe, Santa Fe County, New Mexico, 87501, United States
CenterWell Home Health is a leading healthcare services business focused on creating integrated and differentiated experiences that put patients at the center of everything we do. As part of Humana, we specialize in personalized, comprehensive home care for patients managing chronic conditions or recovering from injury, illness, surgery, or hospitalization. Our care teams—including nurses, therapists, and social workers—work together to help patients rehabilitate, recover, and regain their independence.
As a Care Manager, Telephonic Nurse, you will be a vital part of our caring community, ensuring optimal continuity of care for patients transitioning into and out of our services. You will serve as the primary clinical representative for CenterWell Home Health, acting as an ambassador for patients who have been discharged or those who may need post-acute services. Your role is to bridge the gap between hospital discharge and home recovery, ensuring patients are matched with the right care setting at the right time.
In this work-from-home telephonic position, you will report directly to the Manager, Care Management. Your day-to-day involves navigating complex healthcare options, Medicare coverage, and billing issues to support patients in need of additional services. You will leverage your expertise in home health, hospice, and palliative care to provide education and clinical level of care determinations based on medical records and patient discussions.
You will communicate with empathy over the phone, acting as a customer advocate throughout the referral process to maximize admission conversion rates. Whether helping a patient locate a specific service site, resolving complaints, or facilitating follow-ups, your goal is to ensure timely responses and high patient satisfaction. You will also assist in the admissions process and participate in special projects to further our mission of whole-person wellness.
Interested candidates should submit their application by the deadline of April 16, 2026. The interview process will evaluate your clinical expertise, problem-solving skills, and fit within our collaborative team environment.
Humana and CenterWell are committed to being an Equal Opportunity Employer. We do not discriminate against any employee or applicant for employment based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status. We take affirmative action to employ and advance individuals with disabilities or protected veteran status and base all employment decisions only on valid job requirements. We also provide free language interpreter services and comply with all applicable federal civil rights laws.
Work model: Remote
Carlos Gilbert Elementary School, 300, Griffin Street, Santa Fe, Santa Fe County, New Mexico, 87501, United States
Santa Fe, New Mexico
BSN degree. Home health or hospice experience.