Onsite Care Coordination Nurse

Humana; Morgantown (WV); Hybrid; USD 70,000 - 100,000; Full time

Job summary

Humana is seeking an Onsite Care Coordination Nurse to support members during critical moments in their care journey, serving as a trusted clinical partner within acute care settings.

In this role, you’ll perform face-to-face assessments, lead discharge planning, and collaborate with care teams to ensure safe transitions from hospital to home. A hybrid work model combines onsite engagement with remote coordination and documentation.

Qualifications

• Active registered nurse license (RN) required.
• Experience in care coordination or discharge planning preferred.
• Ability to work in hospital and hybrid environment.

Responsibilities

• Conduct comprehensive face-to-face assessments of newly admitted members at 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.

Job description

Become a part of our caring community

At Humana, we put the health and well-being of our members at the center of everything we do. As an Onsite Care Coordination Nurse, you will play a vital role in supporting members during critical moments in their care journey—serving as a trusted clinical partner within acute care settings.

Become a part of our caring community

At Humana, we put the health and well-being of our members at the center of everything we do. As an Onsite Care Coordination Nurse, you will play a vital role in supporting members during critical moments in their care journey—serving as a trusted clinical partner within acute care settings.

In this role, you’ll provide face‑to‑face assessments and lead care coordination efforts for newly admitted members, helping ensure smooth, safe, and timely transitions from hospital to home. By identifying gaps in care and collaborating with providers and care teams, you will directly contribute to improving health outcomes and reducing unnecessary readmissions.

This is an opportunity for a nurse who is passionate about whole‑person care, thrives in an autonomous environment, and values meaningful connections with members and colleagues. The role offers a hybrid work model, combining in‑person engagement at assigned facilities with the flexibility to complete coordination and documentation remotely.

Key Responsibilities

• 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.

Onsite Location

• This is an Onsite / Hybrid position at the (Charleston Area Medical Center (CAMC) General Hospital – 501 Morris St) located in (Charlestown, WV). The ideal candidate must live within a reasonable commute to the facility preferably no more than a 30‑60 minute driving distance to the Onsite location from their home base. **
• This position will work at an Onsite facility and as a Hybrid; will have limited working hours at home based on the leader’s discretion. **

Required Qualifications

Use