Onsite Care Coordination Nurse

Humana•Colonial Heights, VA

9d•Hybrid

About The Position

At Humana, the Onsite Care Coordination Nurse supports members during critical moments in their care journey as a clinical partner in acute care settings. The nurse provides face-to-face assessments and leads care coordination for newly admitted members, helping support safe, timely transitions from hospital to home. The role identifies gaps in care and collaborates with providers and care teams to improve health outcomes and reduce unnecessary readmissions. This is a hybrid position involving in-person work at VCU Medical Center, 1250 E Marshall St., Richmond, Virginia, and limited work from home at the leader’s discretion. The ideal candidate lives within a reasonable commute, preferably 30–60 minutes from the facility. The schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. local time, with no holidays, on-call duty, or weekends required. The position is scheduled for 40 hours per week. Occasional travel to Humana offices for training or meetings may be required. The role requires a current, unrestricted Virginia RN license, at least three years of recent acute care nursing experience, experience with discharge planning or care coordination, and proficiency with Microsoft Office and electronic medical records. Candidates must have a valid driver’s license, dependable automobile, and proof of personal vehicle liability insurance. The position also requires TB screening and ACHA Level II background clearance, including fingerprinting, along with other facility-required credentialing and screening. For remote documentation, the employee must have a private workspace and internet service meeting the stated minimum speeds of 25 Mbps download and 10 Mbps upload. The stated annual base-pay range is $71,100–$97,800, and the job is eligible for a bonus incentive plan. Humana describes its benefits as including medical, dental and vision coverage, a 401(k) retirement savings plan, paid time off and holidays, paid parental and caregiver leave, short- and long-term disability, life insurance, and other opportunities.

Requirements

Current, unrestricted Registered Nurse (RN) license in the state of Virginia.
Residence within a 30–60 minute driving distance of VCU Medical Center, 1250 E Marshall St., 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 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 TB screening and ACHA Level II background clearance, including fingerprinting, as required by state and company policy.
Completion of other credentialing and screening required by the assigned facility.
A private workspace for remote documentation that protects member PHI/HIPAA information and lacks ongoing interruptions.
Self-provided internet service with at least 25 Mbps download and 10 Mbps upload speed.

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 support timely, coordinated care and 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.
Travel occasionally to Humana offices for training or meetings, if required.