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 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 the assigned acute care facility with limited remote documentation hours

• Current, unrestricted Registered Nurse (RN) license in the state of Georgia
• Must be located within a 30-60 minute driving distance of Wellstar MCG Health Medical Center, Augusta, Georgia
• 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
• Internet service with at least 25 Mbps download and 10 Mbps upload speeds
• Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
• 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 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
• Care Coordination
• Bilingual English/Spanish

• Acute Care Nursing
• Discharge Planning
• Care Coordination
• Patient Education
• Documentation
• Infection Control
• Health Needs Assessment
• Electronic Medical Records
• Microsoft Office Applications
• HEDIS Knowledge

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

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

• Acute Care Facilities
• Patient Privacy Standards
• Health Promotion
• Utilization Management
• Care Management

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