Remote Utilization Management RN

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

Job summary

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

The position is remote with occasional travel to Humana offices for training or meetings. A compact RN license is required, along with at least an Associate Degree in nursing and 3+ years of

Qualifications

• Minimum of Associate Degree in nursing.
• Licensed Registered Nurse (RN) in a compact state with no disciplinary action.
• Must have valid compact license or reside in a compact state and be eligible to upgrade to compact licensure.
• Three (3) or more years of progressive and varying clinical experience that includes direct patient care to geriatric population.
• Effective telephonic and virtual communication skills.
• Comprehensive knowledge of Microsoft Word, Outlook and Excel.
• Ability to work independently under general instructions and within a team.

Skills

Organizational skills

Time management

Analytical skills

Communication skills

Collaboration

Independent decision making

Education

Associate Degree in Nursing

Bachelor’s degree

Tools

Microsoft Word

Outlook

Excel

Job description

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

The position is remote with occasional travel to Humana offices for training or meetings. A compact RN license is required, along with at least an Associate Degree in nursing and 3+ years of