Onsite Care Coordination Nurse

Jobtailor; Milwaukee (WI); On-site; USD 75,000 - 95,000; Full time

Job summary

Jobtailor is seeking a Registered Nurse to conduct comprehensive assessments, coordinate discharge planning, and educate patients and families. The role focuses on ensuring smooth transitions from admission through post-discharge within acute care settings.

The position requires staying within commutable distance to Aurora St. Luke's Medical Center, with strong emphasis on patient privacy, documentation accuracy, and collaboration with care teams.

Qualifications

• Current, unrestricted RN license in Wisconsin.

Responsibilities

• Conduct comprehensive face-to-face assessments of newly admitted members at assigned acute care facilities.

Skills

Discharge Planning

Care Coordination

Comprehensive Assessments

Patient Education

Documentation Accuracy

Collaboration

Communication

Problem-Solving

Education

Registered Nurse (RN) License

Tools

Electronic Medical Records

Microsoft Word

Microsoft Outlook

Microsoft Excel

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 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


• Work Monday through Friday, 8:00 AM–5:00 PM local time

Requirements

• Current, unrestricted Registered Nurse (RN) license in the state of Wisconsin


• Must be located within a 30–60 minute driving distance of Aurora St. Luke's Medical Center from 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, including Word, Outlook, and Excel


• Experience with 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


• Internet service with at least 25 Mbps download and 10 Mbps upload speeds


• Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information

Core Competencies

Demonstrates expertise in conducting comprehensive assessments, discharge planning, and care coordination within acute care settings. Proficient in collaborating with healthcare professionals and maintaining patient privacy standards while utilizing electronic medical records.

Highest-signal resume keywords

• Registered Nurse (RN) License


• Acute Care Nursing Experience


• Discharge Planning Experience


• Electronic Medical Records


• Microsoft Office Applications

ATS Optimization Keywords

Hard Skills

• Comprehensive Assessments


• Care Coordination


• Discharge Planning


• Patient Education


• Documentation Accuracy

Soft Skills

• Collaboration


• Communication


• Problem-Solving

Certifications & Qualifications

• Registered Nurse (RN) License


• TB Screening


• ACHA Level II Background Clearance

Industry Keywords

• Acute Care Facilities


• Patient Privacy Standards


• Infection Control


• Health Needs Assessment


• Follow-Up Visits

Tools & Technologies

• Electronic Medical Records


• Microsoft Word


• Microsoft Outlook


• Microsoft Excel