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From Home Humana Rn Jobs in Kentucky (NOW HIRING)

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From Home Humana Rn information

What is the difference between From Home Humana Rn vs From Home Aetna Rn?

AspectFrom Home Humana RnFrom Home Aetna Rn
CertificationsRN license, possibly additional Humana-specific certificationsRN license, possibly additional Aetna-specific certifications
Work EnvironmentRemote, home-based healthcare support for Humana membersRemote, home-based healthcare support for Aetna members
Employer & IndustryHumana, health insurance industryAetna, health insurance industry

Both From Home Humana Rn and From Home Aetna Rn roles involve providing remote nursing support to health insurance members. The main differences lie in the employer, specific protocols, and possibly the certifications required. Both positions are similar in work environment and industry, making them comparable options for licensed RNs seeking remote healthcare roles within major insurance companies.

What are some common challenges faced by work-from-home Humana RNs, and how can they be addressed?

Work-from-home Humana RNs often face challenges such as maintaining effective communication with patients and team members, managing time efficiently, and staying updated with clinical protocols while working remotely. Utilizing secure digital communication tools, participating in regular virtual team meetings, and setting a structured daily schedule can help address these challenges. Humana also provides resources and training to support remote nurses, ensuring they remain connected with colleagues and have access to the latest guidelines and best practices.

What are 'From Home Humana RNs'?

From Home Humana RNs are registered nurses employed by Humana who work remotely, typically providing telehealth services, care management, or clinical support to Humana members. These nurses use technology to assess patient needs, coordinate care, and provide health education and support over the phone or online. Working from home allows them to maintain flexible schedules while still delivering high-quality care to patients. The role often requires strong communication skills, clinical experience, and comfort with digital tools.

What are the key skills and qualifications needed to thrive as a Work-from-Home Humana Registered Nurse, and why are they important?

To thrive as a Work-from-Home Humana Registered Nurse, you need a valid RN license, clinical experience, and a thorough understanding of care management and health assessments. Familiarity with telehealth platforms, electronic health records (EHRs), and Humana’s proprietary systems is typically required. Strong communication, time management, and self-motivation are crucial soft skills for remote coordination and patient engagement. These competencies ensure effective patient care, regulatory compliance, and productivity in a virtual healthcare environment.
What are the most commonly searched types of Humana Rn jobs in Kentucky? The most popular types of Humana Rn jobs in Kentucky are:
From Home Humana Rn jobs near you
Infographic showing various From Home Humana Rn job openings in Kentucky as of July 2026, with employment types broken down into 86% Full Time, 7% Part Time, and 7% Contract. Highlights an 100% In-person job distribution.
Utilization Management RN (Discharge & Auth) Weekends Required

Utilization Management RN (Discharge & Auth) Weekends Required

Humana

Louisville, KY • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Humana rating

7.9

Company rating: 7.9 out of 10

Based on 262 frontline employees who took The Breakroom Quiz

174th of 299 rated insurance

Job description

Become a part of our caring community
The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations for Humana's Kentucky Medicaid Plan. This role has primary responsibility for performing medical necessity reviews, including initial and concurrent authorization decisions, using established clinical criteria and independent clinical judgment. The Utilization Management Nurse 2 also plays a key role in facilitating comprehensive, proactive, and barrier-focused discharge planning to home or a lower level of care.

The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members.

  • Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment.
  • Maintain compliance with state regulations and organizational standards for coordinated member discharge, ensuring all plans are documented and communicated effectively.
  • Perform initial and concurrent reviews with medical necessity determinations, including level of care and length of stay decisions.
  • Engage providers via telephonic, virtual, and onsite collaboration as needed.
  • Follows established guidelines/procedures.

The schedule for this position will include weekends, typically Wednesday through Sunday from 8:00 AM to 5:00 PM Eastern Time with flexibility to adjust weekdays off with leader approval.


Use your skills to make an impact

Required Qualifications

  • Licensed Registered Nurse (RN) in the state of Kentucky, in good standing with no disciplinary action.

  • 2+ years of progressive clinical experience in an acute care, skilled nursing, or rehabilitation setting (preferred).

  • 1+ year of utilization management experience.

  • Maintain compliance with state regulations and organizational standards, ensuring that we coordinate and document member discharge plans and communicate them.

  • Experience performing initial and concurrent reviews for medical service requests, with the ability to interpret clinical criteria and apply judgment to support appropriate use and benefit administration.

  • Experience engaging with providers and care teams through telephonic, virtual, or onsite interactions to facilitate authorizations and support member-centered discharge planning.

  • Strong proficiency in Microsoft Office Suite, including Word, Excel, and PowerPoint.

Preferred Qualifications

  • Bachelor's degree in nursing.

  • MCG experience.

  • Experience in discharge planning, transitions of care, and familiarity with community-based resources and social determinants of health.

  • Health plan experience.

  • Medicaid experience.

  • Bilingual in English and another language. A Language Proficiency Assessment will be conducted to evaluate fluency in reading, writing, and speaking in both languages prior to assignment to a dedicated member service line.

Additional Information

Workstyle: Remote work at home

Location: Must reside in Kentucky or a county that is within contiguous bordering states

Schedule: The schedule for this position will include weekends (Weekend shifts are eligible for a shift differential), from 8:00 AM to 5:00 PM Eastern Time with flexibility to adjust weekdays off with leader approval:

  • The position follows a 5-day workweek, which includes both Saturday and Sunday.
  • Associates will receive two days off during the week.
  • Associates may choose which two weekdays they would like off.
  • Once selected, those days off must remain consistent from week to week and cannot vary.

Travel: Travel to the Louisville office about 3-4 times annually.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


$71,100 - $97,800 per year


This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

Social media

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