Onsite Care Coordination Nurse
About the role
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.
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 (Memorial Hospital - 615 N Michigan Street) located in (South Bend, IN). 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.
Required Qualifications
- Current, unrestricted Registered Nurse (RN) license in the state of Indiana
- Minimum of 3 years recent acute care nursing experience (e.g., medical-surgical, critical care, heart/lung, skilled nursing, or rehabilitation)
- Experience with discharge planning or care coordination in a hospital or health plan settings
- Experience in Microsoft Office applications (Word, Outlook, Excel) and electronic medical records
- Valid driver’s license, dependable automobile, and proof of personal vehicle liability insurance
Preferred Qualifications
- Bachelor’s degree in Nursing (BSN)
- Experience in care management, health promotion, or coaching
- Previous Utilization Management Experience
- Previous health plan experience
- Bilingual (English/Spanish) preferred
- Certification in Care Management or related specialty
- Knowledge of HEDIS and Stars measures
Work Schedule
Monday through Friday, 8:00 AM – 5:00 PM local time– This position does not require holidays, on-call or weekends
Description Of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large.