Remote Utilization Management RN — Care Coordination

Humana; United (LA); Remote; USD 71,000 - 98,000; Full time

Job summary

Humana is seeking a Utilization Management Nurse 2 to coordinate, document and communicate medical services and benefit determinations, applying clinical nursing judgment to support patient outcomes. This role requires independent decision-making, strong organization, analytical skills and excellent telephonic/virtual communication.

Shift is Monday–Friday 8:00am–5:00pm EST; remote with occasional travel for training.

Qualifications

• Associate Degree in nursing required.
• RN license in a compact state with no disciplinary action.
• Compact license or eligible to upgrade to compact licensure.
• 3+ years of progressive clinical experience including direct geriatric patient care.
• Effective telephonic and virtual communication skills.
• Knowledge of Microsoft Word, Outlook and Excel.
• Ability to work independently under general instructions and in a team.

Skills

Organizational skills

Time management

Analytical skills

Telephonic communication

Interpreting clinical information

Collaboration

Education

Associate Degree in Nursing

Bachelor's degree (preferred)

Tools

Microsoft Word

Microsoft Outlook

Excel

Job description

Humana is seeking a Utilization Management Nurse 2 to coordinate, document and communicate medical services and benefit determinations, applying clinical nursing judgment to support patient outcomes. This role requires independent decision-making, strong organization, analytical skills and excellent telephonic/virtual communication.

Shift is Monday–Friday 8:00am–5:00pm EST; remote with occasional travel for training.