Remote Utilization Management RN – Home Health

Humana; United States; Remote; USD 71,000 - 98,000; Full time

Job summary

Humana is seeking a Utilization Management Nurse 2 to apply clinical nursing skills to coordinate, document and communicate medical services and benefit determinations for members. The role supports home-based, fully coordinated care with a Monday–Friday schedule and remote work flexibility.

The position requires an RN with a compact license and 3+ years of geriatric care, plus strong communication and MS Office skills. Humana offers competitive benefits and bonus eligibility.

Qualifications

• Associate degree in nursing required.
• Current RN in a compact state with no disciplinary action.
• Three+ years of progressive clinical experience including direct geriatric care.
• Strong telephonic and virtual communication skills.
• Proficiency with Word, Outlook and Excel.
• Ability to work independently and in a team.

Responsibilities

• Coordinate, document and communicate medical services and/or benefit determinations.
• Support fully coordinated home-based care for Humana members.

Skills

Time management

Analytical skills

Communication (telephonic/virtual)

Technical proficiency with systems

Collaboration

Decision making

Ability to follow guidelines

Education

Associate Degree in nursing

Registered Nurse (RN) compact license

Bachelor’s degree (preferred)

Tools

Microsoft Word

Outlook

Excel

Job description

Humana is seeking a Utilization Management Nurse 2 to apply clinical nursing skills to coordinate, document and communicate medical services and benefit determinations for members. The role supports home-based, fully coordinated care with a Monday–Friday schedule and remote work flexibility.

The position requires an RN with a compact license and 3+ years of geriatric care, plus strong communication and MS Office skills. Humana offers competitive benefits and bonus eligibility.