Care Coordination Nurse

Jobtailor

Hazel Crest (IL)

On-site

USD 70,000 - 95,000

Full time

8 days ago

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Job summary

Humana is seeking a registered nurse care manager to assess and coordinate discharge planning for members in acute care settings. The role involves on-site work at Advocate South Suburban Hospital with limited remote hours and occasional travel to Humana offices.

You will evaluate medical and psychosocial needs, educate members and families, and collaborate with providers and care teams to ensure smooth transitions. The ideal candidate has 3+ years acute care experience and BSN preferred.

Qualifications

Current, unrestricted RN license in Illinois.
Must live within a 30–60 minute drive of Advocate South Suburban Hospital.
Minimum of 3 years recent acute care nursing experience.
Experience with discharge planning or care coordination in hospital/health plan.
Experience with Microsoft Office applications and electronic medical records.
Valid driver’s license and own vehicle insurance.
TB screening and ACHA Level II background clearance incl fingerprinting.
Private workspace for remote documentation.
Minimum home internet speed of 25 Mbps down / 10 Mbps up.
BSN preferred.
Care management or related certifications preferred.
Health plan experience preferred.
Bilingual English/Spanish preferred.
HEDIS/Stars knowledge preferred.

Responsibilities

Conduct comprehensive face-to-face assessments of newly admitted members at acute care facilities.
Evaluate members' physical, psychosocial, and health needs and refer 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 barriers.
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 Advocate South Suburban Hospital with limited remote hours for coordination and documentation.
Travel occasionally to Humana offices for training or meetings.

Skills

RN License

Discharge Planning

Microsoft Office

Electronic Medical Records

Bilingual English/Spanish

Education

Bachelor's degree in Nursing (BSN) preferred

Certification in Care Management preferred

Tools

Microsoft Word

Microsoft Outlook

Microsoft Excel

Electronic Medical Records

Job description

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 barriers
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 Advocate South Suburban Hospital with limited remote hours for coordination and documentation
Travel occasionally to Humana offices for training or meetings

Requirements

Current, unrestricted Registered Nurse (RN) license in the state of Illinois
Must live within a 30–60 minute driving distance of Advocate South Suburban Hospital, 17800 S Kedzie Ave, from the 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 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
Dedicated workspace without ongoing interruptions to protect PHI/HIPAA information
Bachelor’s degree in Nursing (BSN) preferred
Care management, health promotion, or coaching experience preferred
Utilization Management experience preferred
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, discharge planning, and care coordination within acute care settings. Proficient in collaborating with healthcare professionals and educating members on health needs while maintaining compliance with safety and privacy standards.

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