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Humana Insurance Rn Jobs (NOW HIRING)

Humana

VP, Physician Review and Market Insights

Oversee the integration of medical doctors and registered nurses in UM across Medicaid and Medicare ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana, Inc.

Care Manager, Telephonic Nurse

Active RN license in state of employment * Ability to obtain CCM certification within 1 year of ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

HHA/CNA, Home Health

Boca Raton, FL · On-site

$37K - $43K/yr

Reports any changes in patient's condition, living conditions etc., to RN/Supervisor as they occur ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

HHA/CNA, Home Health

Vero Beach, FL · On-site

$37K - $43K/yr

Reports any changes in patient's condition, living conditions etc., to RN/Supervisor as they occur ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

HHA/CNA, Home Health

Boca Raton, FL · On-site

$37K - $43K/yr

Reports any changes in patient's condition, living conditions etc., to RN/Supervisor as they occur ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

HHA/CNA, Home Health

Boca Raton, FL · On-site

$37K - $43K/yr

Reports any changes in patient's condition, living conditions etc., to RN/Supervisor as they occur ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

HHA/CNA, Home Health

Fort Pierce, FL · On-site

$37K - $43K/yr

Reports any changes in patient's condition, living conditions etc., to RN/Supervisor as they occur ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

HHA/CNA, Home Health

Vero Beach, FL · On-site

$37K - $43K/yr

Reports any changes in patient's condition, living conditions etc., to RN/Supervisor as they occur ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

HHA/CNA, Home Health

Vero Beach, FL · On-site

$37K - $43K/yr

Reports any changes in patient's condition, living conditions etc., to RN/Supervisor as they occur ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Field Care Manager; Behavioral Health

OR Active, unrestricted Kentucky Registered Nurse (RN) license, with a bachelor's degree in nursing ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Licensed Practical Nurse

Belle Glade, FL

$53K - $73K/yr

Report's problems/potential problems to RN/Case Manager. Participation in the nursing process by ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

New

Humana

Field Care Manager; Behavioral Health

OR Active, unrestricted Kentucky Registered Nurse (RN) license, with a bachelor's degree in nursing ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Quality Compliance Professional

Registered Nurse (RN) license * 2+ years of experience with Long-term service and support (LTSS ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Senior Accreditation Professional

Current, active, and unrestricted licensure as a Registered Nurse (RN) or Behavioral Health ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Quality Compliance Professional

Registered Nurse (RN) license * 2+ years of experience with Long-term service and support (LTSS ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Field Care Manager; Behavioral Health

OR Active, unrestricted Kentucky Registered Nurse (RN) license, with a bachelor's degree in nursing ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

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Humana Insurance Rn information

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How much do humana insurance rn jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for humana insurance rn in the United States is $22.34, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $25.48 per hour, depending on experience, location, and employer.

What is a Humana Insurance RN?

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 typical daily responsibilities of 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 as a Humana Insurance RN?

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.

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Humana Insurance Rn jobs near you
Infographic showing various Humana Insurance Rn job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution, with an average salary of $46,461 per year, or $22.3 per hour.

VP, Physician Review and Market Insights

Remote

Humana
Health Care and Social Assistance • 10K+ employees
Learn more about Humanaexternal

Full-time

Posted 27 days ago

Humana rating

8.0

Company rating: 8.0 out of 10

Based on 267 frontline employees who took The Breakroom Quiz

Job description

Become a part of our caring community
Provides executive leadership to Humana.

The Chief Medical Officer, Utilization Management (UM) will serve as the clinical strategist, operator, and visionary for Humana's Utilization Management organization. This executive role is responsible for integrating and overseeing all Outpatient and Inpatient based MDs and RNs and non-clinical support for UM functions in Medicaid and Medicare, with a focus on streamlining processes, ensuring consistent clinical practices, driving trend savings, improving Star Ratings, and enhancing operational efficiency. The CMO, UM will ensure alignment with Humana's strategic objectives and enterprise operating model.


Use your skills to make an impact

Key Responsibilities:
Set clinical strategy and lead the Utilization Management organization.
Oversee the integration of medical doctors and registered nurses in UM across Medicaid and Medicare.
Provide leadership in risk management, grievance and appeals, clinical contracting, vendor management, and UM dental review.
Ensure the clinician's perspective is central to organizational decision-making.
Leverage analytics to inform strategy and performance improvement.
Sponsor the development of clinical talent and leadership pipeline.

Organizational Scope:
The Chief Medical Officer, UM leads a significant functional organization, with direct accountability for human capital and organizational performance.

Direct reports include:

  • VP, Physician Leadership
Clinical contracting, physician review, quality improvement, legal MDs
  • Director, Physician Leadership
MD vendors, grievance and appeals
  • AVP, UM Nursing
UM RNs (transplant, behavioral health, appeals, etc.)
  • Lead Dental Director
Dental MD/RN review, bid season benefit review
  • Director, Strategy Advancement
Market liaison, provider/facility relationships
  • AVP, UM Administration
UM intake, vendor management, administrative support

Role Impact:
Drive the formation, execution, and sustainability of Humana's Utilization Management strategy.
Challenge the healthcare status quo to improve quality, Star Ratings, and health outcomes.
Integrate evidence-based approaches for UM reviewers.
Support Humana's commitment to whole-person health and consistent, high-quality outcomes.
Candidate Qualifications:
MD/DO

Current Board Certification

Minimum 10 years of combined leadership and/or UM experience.
Passion for improving Star Ratings, review consistency, and health outcomes.
Deep knowledge of medical, clinical, and behavioral science underpinning UM.
Strong interpersonal, leadership, and business acumen.
Proven ability to drive cross-functional results and champion clinical perspectives.

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

40Application Deadline: 09-17-2026
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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