- 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
- Coordinate care onsite at Norman Regional Hospital and complete documentation remotely when permitted
Requirements
- Current, unrestricted Registered Nurse (RN) license in the state of Oklahoma
- Must live within a 30–60 minute driving distance of Norman Regional Hospital from home base
- Minimum of 3 years of recent acute care nursing experience
- Experience in medical-surgical, critical care, heart/lung, skilled nursing, or rehabilitation settings
- 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
- Proof of personal vehicle liability insurance
- Participation in Tuberculosis (TB) screening
- ACHA Level II background clearance, including fingerprinting, as required
- Other credentialing and screening as required by the assigned facility
- Must have a private workspace for remote documentation
- Home internet with at least 25 Mbps download and 10 Mbps upload speed
- Dedicated workspace without ongoing interruptions to protect PHI/HIPAA information
- Bachelor’s degree in Nursing (BSN) preferred
- Experience in care management, health promotion, or coaching preferred
- Previous utilization management experience preferred
- Previous health plan experience preferred
- Bilingual English/Spanish preferred
- Certification in Care Management or related specialty preferred
- Knowledge of HEDIS and Stars measures preferred
Core Competencies
Demonstrates expertise in conducting comprehensive assessments, care coordination, and discharge planning while ensuring compliance with safety and privacy standards. Proficient in collaborating with healthcare professionals and educating members on health needs and preventive measures.
Highest-signal resume keywords
- Registered Nurse (RN) License
- Acute Care Nursing Experience
- Discharge Planning Experience
- Electronic Medical Records
- Bilingual English/Spanish
ATS Optimization Keywords
Hard Skills
- Acute Care Nursing
- Care Coordination
- Discharge Planning
- Patient Education
- Documentation
- Infection Control
- Health Needs Assessment
- Microsoft Office
- Electronic Medical Records
- Care Management
Soft Skills
- Collaboration
- Communication
- Dependability
- Problem-Solving
- Empathy
Certifications & Qualifications
- Registered Nurse (RN) License
- Certification in Care Management
Industry Keywords
- HEDIS
- Stars Measures
- Acute Care Facilities
- Health Promotion
- Utilization Management
- Patient Privacy
- Tuberculosis (TB) Screening
- ACHA Level II Background Clearance
Tools & Technologies
- Microsoft Word
- Microsoft Outlook
- Microsoft Excel
- Electronic Medical Records System