Onsite Care Coordination Nurse

Humana•Tulsa, OK
•$71,100 - $97,800•Hybrid

About The Position

The Onsite Care Coordination Nurse supports Humana members during acute care stays by conducting face-to-face assessments at assigned facilities and coordinating care from admission through discharge and post-discharge. The nurse evaluates members’ physical, psychosocial, and health needs, identifies care gaps and barriers, and works with members, families, providers, and facility teams to support safe, timely transitions from hospital to home and reduce avoidable readmissions. This is a hybrid position combining in-person work at AHS Hillcrest Medical Center in Tulsa, Oklahoma, with limited remote work at the leader’s discretion. Candidates must live within a reasonable commute, preferably 30–60 minutes from the facility. The role is scheduled Monday through Friday, 8:00 a.m. to 5:00 p.m. local time, with no required weekends, holidays, or on-call work. The position is 40 hours per week and may require occasional travel to Humana offices for training or meetings. Remote documentation requires a private workspace and qualifying internet service.

Requirements

  • Current, unrestricted Registered Nurse license in Oklahoma.
  • Residence within a 30–60-minute driving distance of AHS Hillcrest Medical Center in Tulsa, Oklahoma.
  • 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.
  • Ability to meet required TB screening, ACHA Level II background clearance including fingerprinting, and other facility credentialing and screening requirements.
  • For remote documentation, a private workspace and internet service with at least 25 Mbps download and 10 Mbps upload speeds; work must be done in a dedicated space without ongoing interruptions to protect member PHI/HIPAA information.

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 ability.
  • 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 their physical, psychosocial, and health needs, and refer them to Humana programs as appropriate.
  • Support and educate members and families about discharge planning from admission through post-discharge, including facilitating follow-up visits with primary care providers.
  • Identify care gaps, safety concerns, and discharge barriers, 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 about 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 or screening.

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 based on company and/or individual performance.
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