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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 to enhance patient outcomes. Proficient in collaborating with healthcare professionals and maintaining compliance with safety and privacy standards.
Highest-signal resume keywords
Registered Nurse (RN) LicenseAcute Care Nursing ExperienceDischarge Planning ExperienceCare CoordinationMicrosoft Office Applications
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 CoordinationDischarge PlanningDocumentationInfection ControlHealth EducationElectronic Medical RecordsHEDIS KnowledgeStars Measures Knowledge
Soft Skills
CollaborationCommunicationProblem-SolvingPatient Advocacy
Tools & Technologies
Microsoft WordMicrosoft OutlookMicrosoft Excel
Certifications & Qualifications
Certification in Care ManagementACHA Level II Background Clearance
Industry Keywords
Acute Care FacilitiesHealth PlanCare ManagementHealth PromotionUtilization ManagementBilingual English/Spanish
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 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 to improve health outcomes and reduce unnecessary readmissions
Requirements
What you’ll need- Current, unrestricted Registered Nurse (RN) license in the state of Indiana
- Must live within a 30–60 minute driving distance of Deaconess Gateway Hospital, 4011 Gateway Blvd, Newburgh, IN
- 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 the assigned facility
- 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 member PHI/HIPAA information
- Preferred: 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
Benefits
Comp & perks- Bonus incentive plan based upon 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
- Remote documentation flexibility
- Occasional travel to Humana offices for training or meetings