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Humana Insurance Rn Jobs in West Virginia (NOW HIRING)

RN Utilization Review

Charleston, WV · On-site

$73K - $75K/yr

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work ® Fortune Best Workplaces in Financial Services & Insurance RN Utilization ...

RN

Point Pleasant, WV

$46.90 - $63.09/hr

Job Title: RN Location: CMC Nursing Department Name: Surgical Unit-II Req #: 0000231252 Status ... Dental and Vision Insurance * Retirement Plans * Short & Long Term Disability * Life & Accidental ...

... insurance * Work alongside experienced and supportive leaders committed to your professional ... Current Registered Nurse (RN) license in the state of WV or a compact state * Graduate of an ...

... Insurance * - Free Life Insurance We are committed to equal opportunity. If you have a disability under the Americans with Disabilities Act or similar law, and you need an accommodation during the ...

... Insurance * - Free Life Insurance We are committed to equal opportunity. If you have a disability under the Americans with Disabilities Act or similar law, and you need an accommodation during the ...

Registered Nurse

Ripley, WV · On-site

$36 - $41.16/hr

Benefit from a wide range of options, including dental, health, vision, and disability insurance ... As a Registered Nurse RN, you will play a pivotal role in delivering top-notch nursing care to our ...

As an RN at Journey, you'll play a crucial role in assessing, planning, implementing, and ... Free Life Insurance * Company-provided smartphones for full-time care team members * Opportunities ...

As an RN at Journey, you'll play a crucial role in assessing, planning, implementing, and ... Free Life Insurance * Company-provided smartphones for full-time care team members * Opportunities ...

... insurance * Work alongside experienced and supportive leaders committed to your professional ... Current Registered Nurse (RN) license in the state of WV or a compact state * Graduate of an ...

As an RN at Journey, you'll play a crucial role in assessing, planning, implementing, and ... Free Life Insurance * Company-provided smartphones for full-time care team members * Opportunities ...

Registered Nurse

Ripley, WV · On-site

$36 - $41.16/hr

Benefit from a wide range of options, including dental, health, vision, and disability insurance ... As a Registered Nurse RN, you will play a pivotal role in delivering top-notch nursing care to our ...

As an RN at Journey, you'll play a crucial role in assessing, planning, implementing, and ... Free Life Insurance * Company-provided smartphones for full-time care team members * Opportunities ...

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Humana Insurance Rn information

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How much do humana insurance rn jobs pay per hour?

As of Jun 11, 2026, the average hourly pay for humana insurance rn in West Virginia is $17.29, according to ZipRecruiter salary data. Most workers in this role earn between $14.13 and $19.71 per hour, depending on experience, location, and employer.

What is the highest paid RN position?

The highest paid RN position is typically a Nurse Anesthetist (CRNA), who administers anesthesia and requires a master's degree and certification. CRNAs often earn significantly higher salaries than other registered nurses due to their specialized skills and responsibilities.

How much does Humana pay work from home?

Humana Insurance RNs working from home typically earn an average salary ranging from $60,000 to $80,000 annually, depending on experience and location. The role often involves remote patient care, documentation, and communication skills, with some positions offering additional benefits for telehealth work.

Is it hard to get hired at Humana?

Getting hired as a Humana Insurance RN can involve a competitive application process that includes submitting a resume, passing interviews, and demonstrating relevant nursing experience and certifications. Strong clinical skills, knowledge of insurance processes, and familiarity with healthcare regulations can improve chances of employment.

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 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.

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.

Do nurses like working for Humana?

Nurses working as part of Humana Insurance often appreciate the company's focus on employee benefits, flexible schedules, and opportunities for professional development. However, job satisfaction can vary based on individual roles, work environment, and personal expectations. Many nurses find the role rewarding due to the impact on patient care and health management.
What are popular job titles related to Humana Insurance Rn jobs in West Virginia? For Humana Insurance Rn jobs in West Virginia, the most frequently searched job titles are:
What job categories do people searching Humana Insurance Rn jobs in West Virginia look for? The top searched job categories for Humana Insurance Rn jobs in West Virginia are:
Infographic showing various Humana Insurance Rn job openings in West Virginia as of June 2026, with employment types broken down into 1% As Needed, 72% Full Time, 21% Part Time, and 6% Contract. Highlights an 84% Physical, and 16% Remote job distribution, with an average salary of $35,969 per year, or $17.3 per hour.
Home Health Clinical Manager

Home Health Clinical Manager

CenterWell Primary Care

Summersville, WV • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.


Job description

Become a part of our caring community
As a Clinical Manager at CenterWell Home Health, reporting to the Branch Director, you will lead and support a team of dedicated clinicians who deliver compassionate, high-quality care in the home setting. By guiding clinical practice, coordinating patient services, and ensuring excellence in every step of the care journey, you'll empower patients to achieve their highest level of independence while helping your team thrive in their roles.
As a Registered Nurse Clinical Manager, you will:
  • Oversee clinical operations for the location, including patient care delivery, staff management, documentation quality, and regulatory compliance, working onsite in-office.
  • Review referrals, determine admission appropriateness, assign clinicians, and ensure Plans of Care meet patient needs and agency standards.
  • Guide, support, and educate clinicians; help goal-set, care planning, and clinical decision-making; and remain available during operating hours for clinical support.
  • Ensure clinical documentation, audits, and billing meet Medicare, payer, and company standards; monitor case management quality and outcomes.
  • Participate in hiring, training, performance evaluation, coaching, and corrective action for clinical staff.
  • Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data.
  • Coordinate communication among physicians, team members, and caregivers to support care coordination, discharge planning, and outcome achievement.
  • Participate in quality improvement, data tracking, budgeting activities, marketing initiatives, and community relationship development.
  • Provide direct patient care on a limited basis in exceptional or unplanned circumstances and act as Branch Director in their absence.
  • Perform additional tasks to support clinical operations and organizational goals.

Use your skills to make an impact
Required Qualifications:
  • Current state license as a Registered Nurse.
  • Proof of current CPR.
  • Valid driver's license, auto insurance and reliable transportation.
  • Two years as a Registered Nurse with at least one-year of management experience in a home care, hospice or equivalent environment.

Additional Information
TB Statement:
This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Driving Statement:
This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.
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.
$69,500 - $95,600 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.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.