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 gaps in care, 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

• Perform coordination and documentation remotely when not working onsite

Requirements

• Current, unrestricted Registered Nurse (RN) license in the state of Illinois
• Must be located within a 30-60 minute driving distance to Advocate Condell Medical Center from 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 assigned facility
• Private workspace for remote documentation
• Dedicated workspace without ongoing interruptions to protect member PHI / HIPAA information
• Self-provided internet service with at least 25 Mbps download and 10 Mbps upload speed
• Bachelor’s degree in Nursing (BSN) preferred
• Experience in care management, health promotion, or coaching preferred
• Previous Utilization Management experience preferred
• Previous health plan experience preferred
• Bilingual English/Spanish preferred
• Certification in Care Management or related specialty preferred
• Knowledge of HEDIS and Stars measures preferred

Core Competencies

Demonstrates expertise in conducting comprehensive assessments, care coordination, and discharge planning within acute care settings. Proficient in collaborating with healthcare professionals and educating members on health needs while maintaining compliance with safety and privacy standards.

Highest-signal resume keywords

• Registered Nurse (RN) License
• Acute Care Nursing Experience
• Discharge Planning Experience
• Care Coordination
• Bilingual English/Spanish

ATS Optimization Keywords

Hard Skills

• Care Management
• Health Promotion
• Coaching
• HEDIS Knowledge
• Stars Measures Knowledge

Soft Skills

• Collaboration
• Education
• Communication

Certifications & Qualifications

• Certification in Care Management

Industry Keywords

• Patient Privacy
• Infection Control
• Acute Care Facilities
• Health Plan Experience
• Utilization Management

Tools & Technologies

• Microsoft Office
• Electronic Medical Records