RN Care Navigator

This is a fully remote position, open to applicants in Florida.

📋 Description

• Evaluate and understand members’ needs and requirements to promote and sustain optimal wellness.

• Direct members and their families towards suitable care and wellness resources.

• Implement transitions-of-care management for hospital, observation, and post-acute care follow-ups.

• Perform post-discharge outreach and assessments addressing discharge necessities, medication comprehension, PCP follow-up, symptoms, obstacles, and support requirements.

• Organize PCP follow-up appointments and supervise discharge instructions and subsequent actions.

• Offer assessment guidance and supportive consultation to team members.

• Manage escalated complex cases within the RN scope of practice.

• Cultivate a comprehensive understanding of patient needs associated with Social Determinants of Health.

• Recognize barriers to engagement with essential resources and supports.

• Educate patients on chronic health issues, medications, symptom monitoring, behavioral care options, and social support resources.

• Act as a liaison between patients, caregivers, providers, practice contacts, and interdisciplinary team members.

• Encourage patient self-determination and inspire patients to pursue their health goals.

• Refer patients to services and supports within interdisciplinary and community resource networks.

• Engage in interdisciplinary care team activities and provider/practice interactions for transition-of-care coordination.

• Support family and caregiver systems and participate in virtual discussions with patients and families.

• Uphold patient confidentiality in compliance with HIPAA regulations.

• Timely document patient interactions and outreach in designated systems.

• Adhere to fire safety, infection control, attendance, and remote work policies.

• Report to the Associate Director, Clinical Strategy & Program Development.

⛳️ Requirements

• Must hold a Registered Nurse (RN) license.

• A minimum of 4 years of experience in human services, care coordination, care management, case management, or transitions of care.

• Advanced clinical experience is required.

• Experience operating in a fully remote/work-from-home setting utilizing electronic documentation and approved systems.

• A private, secure workspace suitable for confidential patient communication and HIPAA-compliant documentation is necessary.

• Ability to adapt and transition in a dynamic role.

• Compassion and a commitment to advocating for patient needs.

• Capability to maintain confidentiality and safeguard PHI in a remote work environment.

• Must be able to work in the Eastern Time Zone.

• Minimum internet speed of 25 Mbps for download and 10 Mbps for upload is required.

• Preferred: experience in care/case management, transitions of care, or post-discharge patient support.

• Preferred: prior experience with value-based care and working with complex senior populations.

• Preferred: experience collaborating with interdisciplinary teams and PCP practice partners.

• Preferred: experience providing patient education regarding chronic condition management, medications, discharge instructions, and follow-up coordination.

• Preferred: bilingual in English and Spanish or Creole, with proficiency in speaking, reading, and writing both languages without limitations or assistance.

• Preferred residence in the Treasure Coast, FL area.

🏝️ Benefits

• Bonus incentive plan based on company and/or individual performance.

• Medical, dental, and 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 work arrangement.

• Occasional travel to Humana offices for training or meetings.