RN Care Navigator jobs in United States
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Humana · 1 month ago

RN Care Navigator

Humana is a leading healthcare company focused on providing comprehensive care to seniors. The Care Navigator – Registered Nurse plays a crucial role in engaging patients and implementing interventions to enhance their access to healthcare while coordinating care with an interdisciplinary team.

Health CareHealth InsuranceInsuranceVenture Capital
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H1B Sponsor Likelynote

Responsibilities

Conduct Transitions of Care Management for a subset of the patient population, including hospital, obs, and post-acute care follow ups
Provide triage guidance and supportive consultation to other team members, handling escalated complex cases
Develop care plans leveraging 5Ms Geriatric best practice framework
Develop a wholistic view of patient needs related to Social Determinants of Health
Identify existing barriers to engagement with necessary resources and supports
Provide education around maintenance of chronic health conditions, as well as available options for behavioral care and social support
Serve as liaison between the patient and the direct care providers, assisting in navigating both internal and external systems
Initiate care planning and subsequent action steps for high-risk members, coordinating with interdisciplinary team
Supporting patients’ self-determination, motivate patients to meet the health goals they have identified
Refer patient to necessary services and support across the interdisciplinary team
Lead Interdisciplinary CIT Team Meetings when indicated
Assess patient’s family and caregiver system, and conduct family meetings with patient and family when needed
Participate in creation and facilitation of team training content
Participate in and lead CIT interdisciplinary review of and coordination around complex patients
Maintain patient confidentiality in accordance with HIPAA
Document patient encounters in medical record system in a timely manner
Follow general policies related to fire safety, infection control and attendance
Perform all other duties and responsibilities as required

Qualification

Registered Nurse (RN) licenseAcute care experienceCase management experienceValue-based care experienceInterdisciplinary team experienceBilingual English/SpanishBilingual CreoleAdvanced clinical acumenMulti-tasking abilityCompassionFlexibilityOrganizational skillsCommunication skillsInterpersonal skillsCritical thinking

Required

Unrestricted Registered Nurse (RN license) in the state of Florida
Minimum of 4 years of experience working in human services and navigating community-based resources
Acute care and/or case/care management experience
Ability to work M-F 8-5
Ability to work true hybrid position - travel to members' homes/clinics/facilities
Advanced clinical acumen
Ability to multi-task in a fast-paced work environment
Flexibility to fluidly transition and adjust in an evolving role
Excellent organizational skills
Advanced oral and written communication skills
Strong interpersonal and relationship building skills
Compassion and desire to advocate for patient needs
Critical thinking and problem-solving capabilities
Valid state driver's license
Carry insurance in accordance with the state minimum required limits, or $25,000/$25,000/10,000 whichever is higher
Reliable vehicle
Must reside in Belle Glade metro
Must be able to work a 40-hour work week, Monday through Friday 8:00 AM to 5:00 PM

Preferred

Bilingual in English and Spanish or Creole with the ability to speak, read and write in both languages without limitations or assistance
Prior value-based care experience and working with complex Senior populations
Experience working effectively within interdisciplinary teams

Benefits

Medical, dental and vision benefits
401(k) retirement savings plan
Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
Short-term and long-term disability
Life insurance

Company

Humana is a health insurance provider for individuals, families, and businesses.

H1B Sponsorship

Humana has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)

Funding

Current Stage
Public Company
Total Funding
$13.07B
2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B

Leadership Team

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Jim Rechtin
CEO and President
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Colin Drylie
Senior Vice President, Experience Transformation
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Company data provided by crunchbase