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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in conducting comprehensive assessments, care coordination, and discharge planning for acute care patients. Proficient in collaborating with healthcare professionals and educating members on health needs and preventive measures.
Highest-signal resume keywords
Registered Nurse (RN) LicenseAcute Care Nursing ExperienceDischarge Planning ExperienceCare Coordination ExperienceBilingual (English/Spanish)
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient AssessmentCare ManagementHealth PromotionDocumentation AccuracyInfection Control StandardsHEDIS KnowledgeStars Measures Knowledge
Soft Skills
CollaborationEducationCommunication
Tools & Technologies
Microsoft Office ApplicationsElectronic Medical Records
Certifications & Qualifications
Certification in Care ManagementACHA Level II Background Clearance
Industry Keywords
Acute Care FacilitiesDischarge PlanningCare CoordinationHealth Plan ExperienceUtilization Management
About the role
Key responsibilities & impact- 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 barriers
- 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 to support safe, timely hospital-to-home transitions and reduce readmissions
Requirements
What you’ll need- Current, unrestricted Registered Nurse (RN) license in the state of North Carolina
- Must be located within a 30–60 minute driving distance of Atrium Health Wake Forest Baptist Medical Center, 1 Medical Center Blvd, from your 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 (Word, Outlook, Excel) and electronic medical records
- Valid driver’s license, dependable automobile, and proof of personal vehicle liability insurance
- Participation in Tuberculosis (TB) screening and ACHA Level II background clearance, including fingerprinting
- Other credentialing and screening as required by assigned facility
- Private workspace for remote documentation
- 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
- Minimum internet speed of 25 Mbps download and 10 Mbps upload for home/hybrid work
- Ability to work Monday through Friday, 8:00 AM–5:00 PM local time
Benefits
Comp & perks- Bonus incentive plan based on company and/or individual performance
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company holidays
- Personal holidays
- Paid parental leave
- Paid caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
- Personal wellness opportunities
- Smart healthcare decision support
- Occasional travel to Humana offices for training or meetings