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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 plans, and coordinating care for acute care patients. Proficient in collaborating with healthcare professionals and educating patients and families on health needs and preventive measures.
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
Patient AssessmentCare ManagementHealth PromotionDocumentation AccuracyInfection Control Standards
Soft Skills
CollaborationEducationCommunication
Tools & Technologies
Microsoft OfficeElectronic Medical Records
Certifications & Qualifications
Care Management Certification
Industry Keywords
HEDISStars MeasuresUtilization ManagementTB ScreeningPHI/HIPAA Compliance
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
- Perform onsite work at NKC Health Hospital with limited remote documentation hours at the leader’s discretion
Requirements
What you’ll need- Current, unrestricted Registered Nurse (RN) license in the state of Missouri
- Must be located within a 30–60 minute driving distance to NKC Health Hospital from your home base
- Minimum of 3 years recent acute care nursing experience
- Experience with discharge planning or care coordination in hospital or health plan settings
- 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
- 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
- Participation in 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
- Internet service with at least 25 Mbps download and 10 Mbps upload speeds
- Dedicated workspace without ongoing interruptions to protect PHI/HIPAA information
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
- Occasional travel to Humana offices for training or meetings may be required