Onsite Care Coordination Nurse

• Conduct comprehensive face-to-face assessments of newly admitted members at assigned acute care facilities

• 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

• 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

• Coordinate care to improve health outcomes and reduce unnecessary readmissions

• Current, unrestricted Registered Nurse (RN) license in the state of Kentucky
• Must live within a 30–60 minute driving distance of Norton Audubon Hospital, Louisville, KY
• 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
• Private workspace for remote documentation
• Minimum home internet speed of 25 Mbps download and 10 Mbps upload
• Preferred:
  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

Demonstrates expertise in acute care nursing, discharge planning, and care coordination, with a strong focus on patient education and collaboration with healthcare professionals. Proficient in maintaining safety standards and utilizing electronic medical records for effective documentation.

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

• Acute Care Nursing
• Discharge Planning
• Care Coordination
• Patient Education
• Documentation
• Infection Control
• Health Needs Assessment
• Safety Standards
• Care Management
• HEDIS and Stars Measures

• Collaboration
• Communication
• Problem-Solving
• Empathy
• Education

• Registered Nurse (RN) License
• Certification in Care Management

• Acute Care Facilities
• Health Promotion
• Utilization Management
• Patient Privacy Standards
• Bilingual English/Spanish

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