Associate Director, UM Nursing

Humana; Indiana (PA); Remote; USD 115,000 - 159,000; Full time

Job summary

Humana is seeking an Associate Director, Utilization Management Nursing who will utilize clinical nursing skills to enhance care coordination and service documentation. This role requires extensive experience and will primarily engage with patients and providers to ensure optimal health outcomes. The position offers a competitive salary range based on qualifications and includes a comprehensive benefits package.

Benefits

Medical, dental and vision benefits

401(k) retirement savings plan

Paid time off

Short-term and long-term disability

Life insurance

Qualifications

• 6+ years of technical experience required.
• 2+ years of management experience required.
• Must be RN licensed in the appropriate state.

Responsibilities

• Support coordination and documentation of medical services.
• Facilitate optimal care and treatment by communicating with providers and members.
• Identify and resolve complex technical problems in department(s).

Skills

Clinical knowledge

Communication skills

Critical thinking

Education

Bachelor's Degree

Licensed Registered Nurse (RN)

Job description

Become a part of our caring community and help us put health first

The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing requires a solid understanding of how organization capabilities interrelate across department(s).

The Associate Director, Utilization Management Nursing uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Decisions are typically related to identifying and resolving complex technical and operational problems within department(s), and could lead multiple managers or highly specialized professional associates.

Use your skills to make an impact

Required Qualifications

• Bachelor's Degree
• 6 or more years of technical experience
• 2 or more years of management experience
• Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Work performed in the State of Indiana

Preferred Qualifications

Additional 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.$115,200 - $158,400 per yearThis 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

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.