Onsite Care Coordination Nurse

Humana•Spring, TX

1d•$71,100 - $97,800•Hybrid

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 acute care facilities, evaluates physical, psychosocial, and health needs, and refers members to Humana programs as appropriate. The role supports members and families with discharge planning from admission through post-discharge, including arranging follow-up visits with primary care providers. It identifies gaps in care, safety concerns, and discharge barriers, and works with providers and care teams to coordinate timely, safe care and reduce unnecessary readmissions. The position is based at Houston Methodist Hospital in Houston, Texas, and combines onsite facility work with limited remote work at the leader’s discretion. The employee must live within a reasonable commute, preferably 30–60 minutes by car, 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, weekends, and on-call work are not required. Occasional travel to Humana offices for training or meetings may be required. The role requires a current unrestricted Texas RN license, at least three years of recent acute care nursing experience, care coordination or discharge planning experience, and proficiency with Microsoft Office and electronic medical records. A valid driver’s license, dependable automobile, and proof of personal vehicle liability insurance are also required. Candidates must participate in TB screening and ACHA Level II background clearance, including fingerprinting, as required, and complete other facility credentialing and screening. Remote work requires internet service with at least 25 Mbps download and 10 Mbps upload speeds and a dedicated space that protects member PHI/HIPAA information. Humana offers a base pay range of $71,100–$97,800 per year for full-time employment, with eligibility for a bonus incentive plan. Benefits include medical, dental, and vision benefits; a 401(k) retirement savings plan; paid time off and company and personal holidays; paid parental and caregiver leave; short- and long-term disability; life insurance; and other well-being opportunities.

Requirements

Current, unrestricted Registered Nurse (RN) license in the state of Texas.
Must live within a 30–60 minute driving distance of Houston Methodist Hospital at 6565 Fannin St., Houston, Texas.
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 with 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.
For remote work, self-provided internet service with at least 25 Mbps download and 10 Mbps upload speeds, and 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 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.
Adhere to infection control, safety, and patient privacy standards.
Travel occasionally to Humana offices for training or meetings, as required.