Onsite Care Coordination Nurse

Humana•Bixby, OK

9d•Hybrid

About The Position

Humana is hiring an Onsite Care Coordination Nurse to support members during acute care stays and help coordinate safe, timely transitions from hospital to home. The nurse conducts face-to-face assessments of newly admitted members at assigned acute care facilities, evaluates their physical, psychosocial, and health needs, identifies care gaps and discharge barriers, and connects members with appropriate Humana programs. The role includes educating members and families, coordinating with providers and facility case managers, supporting discharge planning and follow-up care, and documenting all required information accurately and promptly. The position combines in-person work at AHS Hillcrest Medical Center in Tulsa, Oklahoma, with limited remote coordination and documentation as permitted by the leader. Candidates must live within a reasonable commute, preferably a 30–60-minute drive, of the facility. The role is scheduled Monday through Friday, 8:00 a.m. to 5:00 p.m. local time, and does not require holidays, on-call work, or weekends. Occasional travel to Humana offices for training or meetings may be required. Remote work requires a private workspace and internet service with at least 25 Mbps download and 10 Mbps upload speed. The stated full-time salary range is $71,100–$97,800 per year, with eligibility for a bonus incentive plan.

Requirements

Current, unrestricted Registered Nurse (RN) license in the state of Oklahoma.
Live within a 30–60-minute driving distance of AHS Hillcrest Medical Center, preferably within that range from the home base.
At least 3 years of recent acute care nursing experience, such as medical-surgical, critical care, heart/lung, skilled nursing, or rehabilitation.
Experience with discharge planning or care coordination in a hospital or health plan setting.
Experience with Microsoft Office applications, including Word, Outlook, and Excel, and with electronic medical records.
Valid driver’s license, dependable automobile, and proof of personal vehicle liability insurance.
Ability to meet work-at-home requirements, including a private workspace without ongoing interruptions and internet service with at least 25 Mbps download and 10 Mbps upload speed.
Participation in TB screening and ACHA Level II background clearance, including fingerprinting, as required by state and company policy; other credentialing and screening may be required by the assigned facility.

Nice To Haves

Bachelor’s degree in Nursing (BSN).
Experience in care management, health promotion, or coaching.
Previous Utilization Management experience.
Previous health plan experience.
Bilingual in English and Spanish.
Certification in Care Management or a related specialty.
Knowledge of HEDIS and Stars measures.

Responsibilities

Conduct comprehensive face-to-face assessments of newly admitted members at assigned acute care facilities to evaluate physical, psychosocial, and health needs, and refer members to Humana programs as appropriate.
Support and educate members and families on discharge planning from admission through post-discharge, including facilitating follow-up visits with primary care providers.
Identify gaps in care, safety concerns, and barriers to discharge, and develop and implement strategies to address them.
Collaborate with attending providers, facility case managers, and other healthcare professionals to coordinate care and support effective, timely discharge planning.
Educate members on diagnoses, medications, and preventive measures to promote wellness and reduce readmission risk.
Complete all required documentation accurately and promptly.
Adhere to infection control, safety, and patient privacy standards.
Participate in required tuberculosis screening, ACHA Level II background clearance including fingerprinting, and other facility-required credentialing and screening.
Travel occasionally to Humana offices for training or meetings, if required.