Onsite Care Coordination Nurse

Humana•Colonial Heights, VA

10d•$71,100 - $97,800•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, identifies care needs and gaps, and works with members, families, providers, and care teams on discharge planning and follow-up. The role combines in-person work at the assigned facility with limited remote coordination and documentation, subject to the leader’s discretion. The position is based at VCU Medical Center in Richmond, Virginia, and the ideal candidate lives within a 30–60-minute drive. The schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. local time, with no required holidays, on-call duty, or weekends. Occasional travel to Humana offices for training or meetings may be required. The position is scheduled for 40 hours per week. Starting base pay is estimated at $71,100–$97,800 per year, and the role is eligible for a bonus incentive plan.

Requirements

Current, unrestricted Registered Nurse (RN) license in Virginia.
Live within a 30–60-minute driving distance of VCU Medical Center in Richmond, Virginia.
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.
Complete TB screening and ACHA Level II background clearance, including fingerprinting, as required by state and company policy; complete other credentialing and screening required by the assigned facility.
Have a private, dedicated workspace for remote documentation that protects member PHI/HIPAA information and is free of ongoing interruptions.
For home or hybrid work, provide internet service with at least 25 Mbps download and 10 Mbps upload speed; Humana may require an upgrade if necessary.
Be available to work Monday through Friday, 8:00 a.m. to 5:00 p.m. local time; the role does not require holidays, on-call duty, or weekends.
Scheduled for 40 hours per week.

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, 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 discharge planning.
Educate members on diagnoses, medications, and preventive measures to promote wellness and reduce readmission risk.
Complete required documentation accurately and promptly.
Adhere to infection control, safety, and patient privacy standards.
Participate in required TB screening, background clearance, and other facility credentialing and screening.