Onsite Care Coordination Nurse
About The Position
Humana is hiring 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, coordinates care, identifies gaps and barriers, and collaborates with providers and care teams to promote safe, timely discharge and reduce unnecessary readmissions. The role includes educating members and families and supporting follow-up care. The position uses a hybrid work model, with in-person work at CommonSpirit–St. Joseph Hospital in Lexington, Kentucky, and limited remote work for coordination and documentation at the leader’s discretion. The candidate should live within a reasonable commute, preferably 30–60 minutes from the facility. The schedule is Monday through Friday, 8:00 a.m.–5:00 p.m. local time, 40 hours per week, with no holidays, on-call shifts, or weekends required. Occasional travel to Humana offices for training or meetings may be required.
Requirements
- Current, unrestricted Registered Nurse (RN) license in Kentucky.
- Live within a 30–60-minute driving distance of CommonSpirit–St. Joseph Hospital in Lexington, Kentucky.
- 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.
- 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, dedicated workspace for remote documentation that protects member PHI/HIPAA information and is free of ongoing interruptions.
- For remote work, self-provided internet service must have at least 25 Mbps download and 10 Mbps upload speed; wireless, wired cable, or DSL is suggested. Humana may require an upgrade if needed.
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.
- 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 ensure coordinated care and effective discharge planning.
- Educate members about 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.
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 insurance.
- Life insurance.
- Bonus incentive plan based on company and/or individual performance.
- Other opportunities and benefits 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
