Onsite Care Coordination Nurse
About The Position
Humana is seeking an Onsite Care Coordination Nurse to support members during acute care and transitions from hospital to home. The nurse conducts face-to-face assessments of newly admitted members at assigned facilities, identifies care needs and barriers, and coordinates with providers and care teams to support safe, timely discharge and reduce avoidable readmissions. The role includes educating members and families, addressing gaps in care, and completing documentation. The position is based at Shannon Medical Center in San Angelo, Texas, with a hybrid work model: in-person work at the assigned facility and limited remote work at the leader’s discretion. The employee must live within a reasonable commute, preferably a 30–60-minute drive, and have a private workspace for remote documentation. The schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. local time, for 40 hours per week. Holidays, on-call work, and weekends are not required. Occasional travel to Humana offices for training or meetings may be required.
Requirements
- Current, unrestricted Registered Nurse (RN) license in Texas.
- Live within a 30–60-minute driving distance of Shannon Medical Center, preferably.
- 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.
- Participate in tuberculosis 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 workspace for remote documentation that protects member PHI/HIPAA information and is free of ongoing interruptions.
- For remote work, self-provided internet must have at least 25 Mbps download and 10 Mbps upload speed; 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, 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 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.
Benefits
- Medical, dental, and vision benefits.
- 401(k) retirement savings plan.
- Paid time off, company and personal holidays, and paid parental and caregiver leave.
- Short-term and long-term disability coverage.
- Life insurance.
- Bonus incentive plan based on company and/or individual performance.
- Other opportunities supporting personal wellness and healthcare decisions.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
