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Jobtailor is seeking a registered nurse to conduct comprehensive assessments and coordinate discharge planning for members in acute care settings. You will work with providers and case managers to identify gaps in care and ensure smooth transitions from hospital to post-discharge care.
The role emphasizes education on diagnoses and medications, documentation accuracy, and adherence to privacy and infection control standards within a remote-friendly environment.
• 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 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
• Perform coordination and documentation remotely when not working onsite
Requirements
Core Competencies
Demonstrates expertise in conducting comprehensive assessments, care coordination, and discharge planning 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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