Remote Utilization Management RN for Care & Outcomes

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

Job summary

Humana is seeking an Utilization Management Nurse 2 to coordinate, document, and communicate medical services and benefit determinations. The role supports clinical decision-making with a focus on geriatric care and patient outcomes.

Remote-friendly, Monday–Friday schedule, with travel to Humana offices as needed. Requires RN licensure in a compact state, 3+ years of clinical experience, and strong MS Word/Outlook/Excel skills. Bachelor's degree preferred.

Qualifications

• Associate degree in nursing is required.
• Active RN license in a compact state.
• 3+ years of clinical experience with geriatric patients.
• Strong written and verbal communication with telehealth capabilities.
• Proficient in MS Word, Outlook, and Excel.

Skills

RN licensure

Compact license

Geriatric care

Telephonic & virtual communication

Independent & team work

Education

Associate Degree in Nursing

Bachelor’s degree (preferred)

Tools

Microsoft Word

Outlook

Excel

Job description

Humana is seeking an Utilization Management Nurse 2 to coordinate, document, and communicate medical services and benefit determinations. The role supports clinical decision-making with a focus on geriatric care and patient outcomes.

Remote-friendly, Monday–Friday schedule, with travel to Humana offices as needed. Requires RN licensure in a compact state, 3+ years of clinical experience, and strong MS Word/Outlook/Excel skills. Bachelor's degree preferred.