Hybrid Onsite RN: Care Coordination in Acute Care

Humana; Carlsbad (TX); Hybride; USD 71 000 - 98 000; Plein temps

Avantages offerts par ce poste

Hybrid work model

Bonus incentive plan

Résumé du poste

Humana is seeking an Onsite Care Coordination Nurse to support newly admitted members at Shannon Medical Center in San Angelo, TX. You will conduct face-to-face assessments, coordinate discharge planning, and partner with care teams to promote safe transitions from hospital to home.

The role offers a hybrid work model with in-person site presence and remote coordination/documentation, requiring 40 hours per week and a Texas RN license with 3+ years acute care experience.

Qualifications

• Current, unrestricted RN license in Texas.
• Must live within 30–60 minute drive to Shannon Medical Center, San Angelo TX.
• Minimum 3 years acute care nursing experience.
• Experience with discharge planning or care coordination.
• Experience with MS Office and EMR.
• Valid driver''s license and vehicle insurance.

Responsabilités

• Conduct comprehensive, face to face assessments of newly admitted members at assigned acute care facilities to evaluate physical, psychosocial, and health needs; refer to Humana programs as appropriate.
• Support and educate members and families on discharge planning from admission through post-discharge, including facilitating follow-up visits with primary care providers.
• Identify gaps in care, safety concerns, and barriers to discharge; develop and implement strategies to address these issues.
• Collaborate with attending providers, facility case managers, and other healthcare professionals to ensure timely, coordinated care and effective discharge planning.
• Provide education on diagnoses, medications, and preventive measures to promote ongoing wellness and reduce risk of readmission.
• Complete all required documentation accurately and promptly.
• Maintain adherence to infection control, safety, and patient privacy standards at all times.

Connaissances

RN license (TX)

Discharge planning experience

Care coordination

MS Office & EMR familiarity

Driver's license & vehicle insurance

Formation

Bachelor's degree in Nursing (BSN)

Outils

Microsoft Office

EMR systems

Description du poste

Humana is seeking an Onsite Care Coordination Nurse to support newly admitted members at Shannon Medical Center in San Angelo, TX. You will conduct face-to-face assessments, coordinate discharge planning, and partner with care teams to promote safe transitions from hospital to home.

The role offers a hybrid work model with in-person site presence and remote coordination/documentation, requiring 40 hours per week and a Texas RN license with 3+ years acute care experience.