Onsite Care Coordination Nurse

• Conduct comprehensive face-to-face assessments of newly admitted members at assigned acute care facilities
• Evaluate members’ physical, psychosocial, and health needs and refer them to Humana programs as appropriate
• Support and educate members and families on discharge planning from admission through post-discharge
• Facilitate follow-up visits with primary care providers
• Identify care gaps, safety concerns, and barriers to discharge
• Develop and implement strategies to address care and discharge issues
• Collaborate with attending providers, facility case managers, and other healthcare professionals
• Provide education on diagnoses, medications, and preventive measures
• Complete required documentation accurately and promptly
• Maintain infection control, safety, and patient privacy standards
• Work onsite at assigned facilities with limited remote hours for coordination and documentation

• Current, unrestricted Registered Nurse (RN) license in the state of Kansas
• Must be located within a 30-60 minute driving distance of The University of Kansas Hospital, 4000 Cambridge St, from your home base
• Minimum of 3 years recent acute care nursing experience
• Experience with discharge planning or care coordination in a hospital or health plan setting
• Experience with Microsoft Office applications (Word, Outlook, Excel) and electronic medical records
• Valid driver’s license, dependable automobile, and proof of personal vehicle liability insurance
• Participation in Tuberculosis (TB) screening and ACHA Level II background clearance, including fingerprinting
• Other credentialing and screening as required by the assigned facility
• Must have a private workspace for remote documentation
• Home internet with minimum download speed of 25 Mbps and upload speed of 10 Mbps
• Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information

Demonstrates expertise in acute care nursing, discharge planning, and care coordination, with a strong focus on patient education and safety. Proficient in maintaining compliance with healthcare standards and effectively collaborating with multidisciplinary teams.

• Registered Nurse (RN) License
• Acute Care Nursing Experience
• Discharge Planning Experience
• Microsoft Office Applications
• Electronic Medical Records

• Acute Care Nursing
• Discharge Planning
• Care Coordination
• Patient Education
• Documentation
• Infection Control
• Safety Standards
• Health Needs Assessment
• Care Gap Identification
• Follow-Up Facilitation

• Collaboration
• Communication
• Problem-Solving
• Empathy
• Organizational Skills

• Registered Nurse (RN) License
• Tuberculosis (TB) Screening
• ACHA Level II Background Clearance

• Patient Privacy
• PHI/HIPAA Compliance
• Healthcare Professionals
• Acute Care Facilities
• Health Plan Setting

• Microsoft Word
• Microsoft Outlook
• Microsoft Excel
• Electronic Medical Records Systems