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 healthcare professionals
• Coordinate timely care and effective discharge planning
• Educate members 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
• Occasionally travel to Humana offices for training or meetings

• Current, unrestricted Registered Nurse (RN) license in the state of Illinois
• Must live within a 30-60 minute driving distance of Advocate Christ Medical Center, 4440 95th St, Oak Lawn, Illinois
• 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, and Excel
• Experience with electronic medical records
• Valid driver's license
• Dependable automobile
• Proof of personal vehicle liability insurance
• Participation in Tuberculosis (TB) screening
• ACHA Level II background clearance, including fingerprinting
• Other credentialing and screening as required by the assigned facility
• Private workspace for remote documentation
• Home internet with minimum download speed of 25 Mbps and upload speed of 10 Mbps
• Bachelor's degree in Nursing (BSN) preferred
• Bilingual English/Spanish preferred
• Certification in Care Management or related specialty preferred
• Knowledge of HEDIS and Stars measures preferred

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

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

• Care Coordination
• Patient Assessment
• Discharge Planning
• Documentation Accuracy
• Infection Control Standards

• Collaboration
• Communication
• Education

• Certification in Care Management
• ACHA Level II Background Clearance

• HEDIS
• Stars Measures
• Acute Care Facilities
• Healthcare Professionals Patient Privacy Standards

• Microsoft Office
• Electronic Medical Records