Onsite Care Coordination Nurse

Humana•Wauwatosa, WI
•$71,100 - $97,800•Hybrid

About The Position

The Onsite Care Coordination Nurse provides face-to-face assessments and care coordination for newly admitted members at an assigned acute care facility. The role supports safe, timely transitions from hospital to home by identifying gaps in care, collaborating with providers and care teams, and helping members and families navigate discharge planning and follow-up care. The nurse provides education on diagnoses, medications, and preventive measures to promote wellness and reduce readmissions. The position is based at Aurora St. Luke's Medical Center in Milwaukee, Wisconsin, and uses a hybrid model: in-person work at the assigned facility combined with limited remote work for coordination and documentation, at the leader’s discretion. The candidate must live within a reasonable commute, preferably 30–60 minutes from the facility. The role works 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. The position requires accurate and timely documentation, compliance with infection control, safety, and patient privacy standards, and completion of required screening and credentialing. Remote work requires a private workspace and internet service meeting Humana’s stated minimum speeds of 25 Mbps download and 10 Mbps upload. Compensation is listed at $71,100–$97,800 per year, with eligibility for a bonus incentive plan.

Requirements

  • Current, unrestricted Registered Nurse (RN) license in Wisconsin.
  • Must live within a 30–60-minute driving distance of Aurora St. Luke's Medical Center in Milwaukee, Wisconsin.
  • 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 using Microsoft Office applications, including Word, Outlook, and Excel, and electronic medical records.
  • Valid driver’s license, dependable automobile, and proof of personal vehicle liability insurance.
  • Participation in tuberculosis (TB) screening and ACHA Level II background clearance, including fingerprinting, as required by state and company policy.
  • Must have a private workspace for remote documentation and a dedicated space without ongoing interruptions to protect member PHI/HIPAA information.
  • Home internet must provide at least 25 Mbps download and 10 Mbps upload; wireless, wired cable, or DSL is suggested.

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 English/Spanish skills.
  • 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 required documentation accurately and promptly.
  • Follow infection control, safety, and patient privacy standards.
  • Participate in required TB screening, background clearance, and other facility credentialing and screening.
  • Travel occasionally to Humana offices for training or meetings, if required.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • 401(k) retirement savings plan
  • Paid time off
  • Company and personal holidays
  • Paid parental and caregiver leave
  • Short-term disability
  • Long-term disability
  • Life insurance
  • Bonus incentive plan
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