- 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 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 UK King's Daughters Medical Center and remotely document as permitted
Requirements
- Current, unrestricted Registered Nurse (RN) license in Kentucky
- Must live within a 30–60 minute driving distance of UK King's Daughters Medical Center
- Minimum of 3 years of recent acute care nursing experience
- Experience with discharge planning or care coordination in hospital or health plan settings
- 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 TB screening
- ACHA Level II background clearance, including fingerprinting, as required
- Other credentialing and screening as required by the assigned facility
- Private workspace for remote documentation
- Home internet with at least 25 Mbps download and 10 Mbps upload speeds
- Bachelor's degree in Nursing (BSN) preferred
- Care management, health promotion, or coaching experience preferred
- Utilization Management experience preferred
- 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, discharge planning, and care coordination within acute care settings. 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 Experience
- Care Coordination
ATS Optimization Keywords
Hard Skills
- Assessment Skills
- Care Management
- Health Promotion
- Coaching Experience
- Utilization Management
- HEDIS Knowledge
- Stars Measures Knowledge
Soft Skills
- Collaboration
- Education
- Communication
Certifications & Qualifications
- Care Management Certification
Industry Keywords
- Acute Care Facilities
- Patient Privacy Standards
- Infection Control
- TB Screening
- Background Clearance
Tools & Technologies
- Microsoft Office
- Electronic Medical Records