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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 collaborating with healthcare professionals to ensure optimal patient care. Proficient in maintaining patient privacy standards and utilizing electronic medical records for accurate documentation.
Highest-signal resume keywords
Registered Nurse (RN) LicenseAcute Care Nursing ExperienceDischarge Planning ExperienceMicrosoft Office ApplicationsCare Coordination
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 CoordinationPatient AssessmentDocumentationInfection ControlHealth EducationMedication ManagementPreventive MeasuresHEDIS Knowledge
Soft Skills
CollaborationCommunicationProblem-SolvingPatient AdvocacyEducation
Tools & Technologies
Electronic Medical RecordsMicrosoft WordMicrosoft OutlookMicrosoft Excel
Certifications & Qualifications
Registered Nurse (RN) LicenseCertification in Care Management
Industry Keywords
Acute Care FacilitiesHealth PlanPatient PrivacyHIPAA ComplianceCare 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 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
- Work onsite at assigned facilities with limited remote hours for coordination and documentation
Requirements
What you’ll need- Current, unrestricted Registered Nurse (RN) license in the state of North Carolina
- Must live within a 30–60 minute driving distance of Carolinas Medical Center, Charlotte, NC
- Minimum of 3 years of 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
- Must have a 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 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
- Private workspace for remote documentation
- No holidays, on-call, or weekends required
- Occasional travel to Humana offices for training or meetings may be required