Remote Utilization Management Nurse | Focus on Outcomes

Humana; Vermont; Remote; USD 71,000 - 98,000; Full time

Job summary

Humana is seeking a qualified Utilization Management Nurse 2 to support coordination, documentation and communication of medical services and benefit determinations. The role involves interpreting clinical information, making independent decisions and collaborating with internal and external stakeholders.

Ideal candidates have 3+ years of geriatric clinical experience, an active compact RN license or eligibility, and strong telephonic communication skills.

Qualifications

• Associate degree in nursing required.
• Active compact RN license or eligibility to upgrade.
• 3+ years of progressive clinical experience, including geriatric care.
• Effective telephonic and virtual communication skills.
• Proficiency with Word, Outlook and Excel; able to work independently.

Skills

Clinical nursing experience

Independent decision making

Collaboration skills

Time management

Telephonic and virtual communication

Education

Associate Degree in Nursing

RN license in a compact state

Eligible to upgrade to compact licensure

Tools

Microsoft Word

Outlook

Excel

Job description

Humana is seeking a qualified Utilization Management Nurse 2 to support coordination, documentation and communication of medical services and benefit determinations. The role involves interpreting clinical information, making independent decisions and collaborating with internal and external stakeholders.

Ideal candidates have 3+ years of geriatric clinical experience, an active compact RN license or eligibility, and strong telephonic communication skills.