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Humana Insurance Rn Jobs in Georgia (NOW HIRING)

Humana

Onsite Care Coordination Nurse

Rome, GA · On-site

Current, unrestricted Registered Nurse (RN) license in the state of Georgia * Must be Located ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Onsite Care Coordination Nurse

Rome, GA

Current, unrestricted Registered Nurse (RN) license in the state of Georgia * Must be Located ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Onsite Care Coordination Nurse

Rome, GA · On-site

Current, unrestricted Registered Nurse (RN) license in the state of Georgia * Must be Located ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

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Humana Insurance Rn information

What is a Humana Insurance RN?

A Humana Insurance RN (Registered Nurse) is a nursing professional who works for Humana, a health insurance company, to provide care management, health assessments, and support for members. They may review medical claims, coordinate care, educate patients on health conditions, and work with healthcare providers to ensure appropriate treatment plans. This role typically involves telephonic or remote work, focusing on improving patient outcomes and reducing healthcare costs.

What are the typical daily responsibilities of a Humana Insurance RN?

As a Humana Insurance RN, your day often involves reviewing medical records, conducting telephonic or virtual health assessments, and collaborating with members, providers, and support teams to coordinate care. You may perform utilization reviews, document clinical determinations, and assist members in understanding their benefits and healthcare options. The role requires balancing clinical judgment with insurance guidelines to ensure high-quality, cost-effective care. Additionally, you'll participate in team meetings and ongoing training to stay current with best practices and regulatory requirements.

What are the key skills and qualifications needed to thrive as a Humana Insurance RN?

To thrive as a Humana Insurance RN, you need an active RN license, strong clinical assessment abilities, and experience in case management or utilization review. Familiarity with healthcare management systems, Microsoft Office Suite, and accreditation standards such as NCQA or URAC is typically required. Excellent communication, critical thinking, and organizational skills help you effectively coordinate care with members, providers, and internal teams. These qualities are vital for ensuring accurate care recommendations, compliance with insurance protocols, and high member satisfaction.

What are popular job titles related to Humana Insurance Rn jobs in Georgia?

For Humana Insurance Rn jobs in Georgia, the most frequently searched job titles are:

What job categories do people searching Humana Insurance Rn jobs in Georgia look for?

The top searched job categories for Humana Insurance Rn jobs in Georgia are:

Humana Insurance Rn jobs near you
Infographic showing various Humana Insurance Rn job openings in Georgia as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 21% Part Time, 1% Temporary, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Onsite Care Coordination Nurse

Humana

Rome, GA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago

Humana rating

8.0

Company rating: 8.0 out of 10

Based on 265 frontline employees who took The Breakroom Quiz

164th of 309 rated insurance

Job description

Become a part of our caring community
At Humana, we put the health and well-being of our members at the center of everything we do. As an Onsite Care Coordination Nurse, you will play a vital role in supporting members during critical moments in their care journey-serving as a trusted clinical partner within acute care settings.
In this role, you'll provide face-to-face assessments and lead care coordination efforts for newly admitted members, helping ensure smooth, safe, and timely transitions from hospital to home. By identifying gaps in care and collaborating with providers and care teams, you will directly contribute to improving health outcomes and reducing unnecessary readmissions.
This is an opportunity for a nurse who is passionate about whole-person care, thrives in an autonomous environment, and values meaningful connections with members and colleagues. The role offers a hybrid work model, combining in-person engagement at assigned facilities with the flexibility to complete coordination and documentation remotely.

Key Responsibilities

  • Conduct comprehensive, face to face assessments of newly admitted members at assigned acute care facilities to evaluate physical, psychosocial, and health needs; refer to Humana programs as appropriate.
  • Support and educate members and families on discharge planning from admission through post-discharge, including facilitating follow-up visits with primary care providers.
  • Identify gaps in care, safety concerns, and barriers to discharge; develop and implement strategies to address these issues.
  • Collaborate with attending providers, facility case managers, and other healthcare professionals to ensure timely, coordinated care and effective discharge planning.
  • Provide education on diagnoses, medications, and preventive measures to promote ongoing wellness and reduce risk of readmission.
  • Complete all required documentation accurately and promptly.
  • Maintain adherence to infection control, safety, and patient privacy standards at all times.

Onsite Location

** This is an Onsite / Hybrid position at the (Atrium Health Floyd Medical Center - 304 Turner McCall Blvd NE) located in (Rome, Georgia). The ideal candidate must live within a reasonable commute to the facility preferably no more than a 30-60 minute driving distance to the Onsite location from their home base. **

**This position will work at an Onsite facility and as a Hybrid; will have limited working hours at home based on the leader's discretion. **


Use your skills to make an impact

Required Qualifications

  • Current, unrestricted Registered Nurse (RN) license in the state of Georgia
  • Must be Located within a 30-60 minute driving distance to (Atrium Health Floyd Medical Center - 304 Turner McCall Blvd NE ) from your home base
  • Minimum of 3 years recent acute care nursing experience (e.g., medical-surgical, critical care, heart/lung, skilled nursing, or rehabilitation)
  • Experience with discharge planning or care coordination in a hospital or health plan settings
  • Experience in Microsoft Office applications (Word, Outlook, Excel) and electronic medical records
  • Valid driver's license, dependable automobile, and proof of personal vehicle liability insurance

Preferred Qualifications

  • Bachelor's degree in Nursing (BSN)
  • Experience in care management, health promotion, or coaching
  • Previous Utilization Management Experience
  • Previous health plan experience
  • Bilingual (English/Spanish) preferred
  • Certification in Care Management or related specialty
  • Knowledge of HEDIS and Stars measures

Work Schedule

  • Monday through Friday, 8:00 AM - 5:00 PM local time- This position does not require holidays, on-call or weekends

Additional Requirements

  • Participation in Tuberculosis (TB) screening and ACHA Level II background clearance (including fingerprinting), as required by state and company policy
  • Other credentialing and screening as required by assigned facility
  • Must have a private workspace for remote documentation when not in the field
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


$71,100 - $97,800 per year


This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

What Humana employees say

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Benefits

Hours and flexibility

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About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

Social media

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