Humana · 7 hours ago
Care Navigator RN Clinical Educator
United States
Full-time
Remote
Mid, Senior Level
$86K/yr - $119K/yr
5+ years expHumana is a healthcare company focused on providing proactive, preventive care to seniors. The Care Navigator RN Clinical Educator is responsible for planning and delivering training programs for nursing staff, ensuring they are equipped to manage high-risk patients and implement effective care strategies.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Develop, plan, organize, and supervise training for RN Care Navigators, care integration team members and primary care providers including principles of population health, value-based care, and senior care. Oversee training aspects of STARS Quality metrics, readmission risk, Chronic Disease Management, Medication Reconciliation, Care Giver Burnout, Advance Care Planning, and Suicide. May also need to incorporate EMR and systems training, Compliance, primary care policy and procedure, coding and documentation, quality, utilization, customer service standards, team effectiveness and communication as needed. Training could occur in-person in markets and virtually through live and recorded sessions
Serve as faculty for clinical staff learning journeys and provider onboarding as needed
Have knowledge on transitions of care best practices, creation and management of care plans, knowledge on 5M Geriatric best practices. Have strong Motivation Interviewing (MI) skills and be able to teach and facilitate sessions on how to gain these skillsets
Monitor medical performance through direct observation, listening to calls, chart review, data review, and provide guidance to ensure that the quality of care being provided meets appropriate standards and to ensure cost-effective utilization practices for new and current associates that require coaching or performance improvement plans
Supports the development of score cards to document Care Navigator work quality and completes score cards through direct observation, chart review and shares such data with education team, care integration team and other stakeholders on a regular basis. Supports preceptors and preceptor program to ensure smooth transition for new associates between national and market-based onboarding
Ensure licensed RNs meet competency requirements and assign modules for those who need education and training, in addition to shadowing and hands on work
Work collaboratively with Regional Directors, Program Delivery team, Compliance, market teams and PCO leadership to identify training needs for care integration team members
Represent the organization in recruiting and marketing events as needed
Maintain active clinical practice in the local market for a portion of the time. This is currently set to 10%
Serves as a key SME interviewer in future RN hires to promote standardized and consistent hiring approach
May serve as faculty for Activity Center topic of the month session or CIT Grand Rounds for CE credit as needed
Travel up to 20% for onsite training delivery, role observation, and clinical practice
Qualification
Required
Active and unrestricted RN License in home state
Willingness to obtain licensure in additional states as needed
Minimum of five years' experience working as a Registered Nurse
Knowledge of community health and social service agencies and resources
Experience working as part of an interprofessional team
Experience in training and/or training content development
Proficient in Microsoft Office, EMR systems, and Zoom
Preferred
Familiarity with state Medicaid guidelines and application processes preferred
Preferred experience working with the geriatric/senior population
Preferred experience in care management program management or implementation
Knowledge of EMR/documentation platforms including Salesforce and AthenaOne
Knowledge of Team STEPPS evidenced-based standards
Benefits
Comprehensive health, dental, and vision insurance plans to keep you and your family healthy.
Generous 401(k) plan with company match to help you plan for your future.
Opportunities for continuous learning and development, including access to training programs, certifications, and tuition reimbursement.
Flexible work arrangements, including remote work options and paid time off to support your personal and professional life.
Access to resources and support for personal, financial, and legal matters.
Initiatives to promote physical and mental well-being, including fitness memberships and wellness challenges.
Opportunities to participate in volunteer activities and give back to the community.
Programs to recognize and reward your contributions and achievements.
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
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 CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Caleb Gallifant
Chief Operating Officer, CenterWell Home Health
Recent News
2026-01-16
2026-01-16
Company data provided by crunchbase