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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, developing discharge planning strategies, and coordinating care for acute care patients. Proficient in educating members on health needs and ensuring compliance with safety and privacy standards.
Highest-signal resume keywords
Registered Nurse (RN) LicenseAcute Care Nursing ExperienceDischarge Planning ExperienceCare CoordinationBilingual 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
Acute Care NursingDischarge PlanningCare CoordinationHealth PromotionUtilization ManagementHEDIS KnowledgeStars Measures KnowledgeDocumentation AccuracyPatient EducationInfection Control
Soft Skills
CollaborationCommunicationProblem-SolvingPatient AdvocacyEmpathy
Tools & Technologies
Microsoft OfficeElectronic Medical RecordsRemote Documentation Tools
Certifications & Qualifications
Care Management CertificationACHA Level II Background Clearance
Industry Keywords
Acute Care FacilitiesPatient Privacy StandardsHealth Plan ExperienceCare ManagementCoaching
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
- Ensure timely, coordinated care and effective discharge planning
- Educate members on diagnoses, medications, and preventive measures
- Promote ongoing wellness and reduce readmission risk
- Complete required documentation accurately and promptly
- Maintain infection control, safety, and patient privacy standards
- Work onsite at Houston Methodist Hospital with limited remote documentation hours at leader discretion
Requirements
What you’ll need- Current, unrestricted Registered Nurse (RN) license in the state of Texas
- Must be located within a 30-60 minute driving distance to Houston Methodist Hospital, 6565 Fannin St, from your home base
- 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 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
- Must have a private workspace for remote documentation when not in the field
- Home internet with at least 25 Mbps download and 10 Mbps upload speeds
- Dedicated workspace without ongoing interruptions to protect member 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
Benefits
Comp & perks- Bonus incentive plan based on company and/or individual performance
- Medical, dental and vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company and personal holidays
- Paid parental and caregiver leave
- Short-term and long-term disability
- Life insurance
- Personal wellness and smart healthcare decision support
- Occasional travel to Humana offices for training or meetings