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Humana Insurance Rn Jobs in Kentucky (NOW HIRING)

CenterWell

Home Health Registered Nurse

Shelbyville, KY

$49 - $69/hr

Valid driver's license, auto insurance and reliable transportation Preferred Qualifications: * One ... This role is part of Humana's driver safety program and therefore requires an individual to have a ...

CenterWell

Home Health Registered Nurse

Hopkinsville, KY

$49 - $69/hr

Valid driver's license, auto insurance and reliable transportation Preferred Qualifications: * One ... This role is part of Humana's driver safety program and therefore requires an individual to have a ...

CenterWell

Home Health Registered Nurse

Murray, KY

$49 - $69/hr

Valid driver's license, auto insurance and reliable transportation Preferred Qualifications: * One ... This role is part of Humana's driver safety program and therefore requires an individual to have a ...

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$10

$19

$29

How much do humana insurance rn jobs pay per hour?

As of May 28, 2026, the average hourly pay for humana insurance rn in Kentucky is $19.40, according to ZipRecruiter salary data. Most workers in this role earn between $15.87 and $22.12 per hour, depending on experience, location, and employer.

What is a Humana Insurance RN job?

A Humana Insurance RN (Registered Nurse) is a nursing professional who works for Humana, a health insurance company, to provide care management, health assessments, and support for members. They may review medical claims, coordinate care, educate patients on health conditions, and work with healthcare providers to ensure appropriate treatment plans. This role typically involves telephonic or remote work, focusing on improving patient outcomes and reducing healthcare costs.

What are the key skills and qualifications needed to thrive in the Humana Insurance Rn position, and why are they important?

To thrive as a Humana Insurance RN, you need an active RN license, strong clinical assessment abilities, and experience in case management or utilization review. Familiarity with healthcare management systems, Microsoft Office Suite, and accreditation standards such as NCQA or URAC is typically required. Excellent communication, critical thinking, and organizational skills help you effectively coordinate care with members, providers, and internal teams. These qualities are vital for ensuring accurate care recommendations, compliance with insurance protocols, and high member satisfaction.

What are typical daily responsibilities for a Humana Insurance RN?

As a Humana Insurance RN, your day often involves reviewing medical records, conducting telephonic or virtual health assessments, and collaborating with members, providers, and support teams to coordinate care. You may perform utilization reviews, document clinical determinations, and assist members in understanding their benefits and healthcare options. The role requires balancing clinical judgment with insurance guidelines to ensure high-quality, cost-effective care. Additionally, you'll participate in team meetings and ongoing training to stay current with best practices and regulatory requirements.
More about Humana Insurance Rn jobs
What are popular job titles related to Humana Insurance Rn jobs in Kentucky? For Humana Insurance Rn jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Humana Insurance Rn jobs in Kentucky look for? The top searched job categories for Humana Insurance Rn jobs in Kentucky are:
Humana Insurance Rn jobs near you
Infographic showing various Humana Insurance Rn job openings in Kentucky as of May 2026, with employment types broken down into 1% Locum Tenens, 3% As Needed, 84% Part Time, and 12% Contract. Highlights an 100% Physical job distribution, with an average salary of $40,353 per year, or $19.4 per hour.
VP, Clinical Policy & Risk Management

VP, Clinical Policy & Risk Management

Humana

Louisville, KY • On-site

Full-time

Posted 16 days ago

Humana rating

7.9

Company rating: 7.9 out of 10

Based on 250 frontline employees who took The Breakroom Quiz

155th of 258 rated insurance

Job description

Become a part of our caring community
Humana maintains a robust clinical risk management function to ensure effective risk mitigation, control, and governance processes across Care Management and Utilization Management. The mission of the Medicare and Medicaid Operational Risk Management Department is to partner with CM/UM teams to drive operational compliance, member access to care, and efficiency, while proactively identifying and managing risks related to care and utilization management.
The Vice President, Clinical Policy and Risk Management will oversee a department comprising 5 direct reports that lead CM/UM Risk Management, UM and CM audit teams, policy governance and clinical learning. This role reports directly to the Senior Vice President - Clinical Operations.

Responsibilities

  • Identify, assess, and report operational and clinical risks within CM/UM processes to appropriate governance structures.
  • Monitor CM/UM compliance and operational metrics, ensuring escalation and resolution of any issues impacting member care or regulatory compliance.
  • Track, interpret, and implement CMS Federal and Medicaid State regulations impacting CM/UM, ensuring timely and complete adoption.
  • Support regulatory audits with emphasis on CM/UM compliance and facilitate remediation where necessary.
  • Lead risk mitigation efforts related to care management and utilization management, including maturity assessments and oversight of issues and opportunities.
  • Oversee CM/UM business continuity and work across leadership to resolve any IOPs administered.
  • Foster quality and continuous improvement within CM/UM control processes, ensuring alignment with policies, standards, and applicable laws.
  • Address legislative and regulatory issues with potential impact on CM/UM operations, including fraud risk identification and mitigation.
  • Lead the strategy, design, implementation, and continuous improvement of clinical learning programs that support onboarding, role readiness, compliance, and performance for Care Management and Utilization Management teams; oversee end-to-end learning solution development, including curriculum architecture, instructional design standards, learning technologies and systems administration, workflow integration, and new hire onboarding experiences
  • Partner closely with clinical, operational, compliance, and business leaders to ensure learning content is aligned to regulatory requirements, clinical processes, system functionality, and business priorities; establish scalable onboarding and learning pathways, optimize learner experience across platforms, and use performance data, audit findings, and operational insights to strengthen adoption, reduce risk, and improve readiness and effectiveness of the clinical workforce.

Use your skills to make an impact

Required Qualifications

  • Bachelor's degree
  • Extensive experience (10+ years) in CM/UM risk management, regulatory compliance, process improvement, or related fields, with several years in leadership roles.
  • Advanced knowledge of CM/UM operational controls, risk mitigation strategies, and regulatory requirements for Medicare and Medicaid.
  • Demonstrated expertise in internal controls, clinical and operational risk management, and IT technical controls within CM/UM environments.
  • Exceptional project management skills, integrity, and business ethics.
  • Ability to collaborate with stakeholders across the enterprise and influence outcomes in complex, matrixed environments.
  • Excellent communication skills and executive presence.

Preferred Qualifications

  • MBA
  • Relevant professional credentials (CPA, CIA, CISSP, JD, SOA, RN, CCM, or similar)

Scheduled Weekly Hours

40
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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