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Humana Insurance Rn Jobs (NOW HIRING)

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

Quality Compliance Professional

Active, unrestricted Registered Nurse (RN) or Licensed Practical Nurse (LPN) license in good ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Quality Assurance Professional

Toledo, OH · Remote

Licensed healthcare professional in the state of Michigan: LPN, RN, LMSW, LBSW. * Previous Medicare ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Quality Assurance Professional

Licensed healthcare professional in the state of Michigan: LPN, RN, LMSW, LBSW. * Previous Medicare ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Quality Assurance Professional

South Bend, IN · Remote

Licensed healthcare professional in the state of Michigan: LPN, RN, LMSW, LBSW. * Previous Medicare ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Quality Assurance Professional

Toledo, OH · Remote

Licensed healthcare professional in the state of Michigan: LPN, RN, LMSW, LBSW. * Previous Medicare ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Quality Assurance Professional

Toledo, OH · Remote

Licensed healthcare professional in the state of Michigan: LPN, RN, LMSW, LBSW. * Previous Medicare ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Quality Assurance Professional

Licensed healthcare professional in the state of Michigan: LPN, RN, LMSW, LBSW. * Previous Medicare ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Quality Assurance Professional

South Bend, IN · Remote

Licensed healthcare professional in the state of Michigan: LPN, RN, LMSW, LBSW. * Previous Medicare ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Quality Assurance Professional

South Bend, IN · Remote

Licensed healthcare professional in the state of Michigan: LPN, RN, LMSW, LBSW. * Previous Medicare ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Quality Assurance Professional

Licensed healthcare professional in the state of Michigan: LPN, RN, LMSW, LBSW. * Previous Medicare ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Registered Nurse, Home Health

Boca Raton, FL · On-site

$77K - $106K/yr

Provides supervision for Aide and LPN as needed DUTIES AND RESPOSIBILITIES: Provide initial and on ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Registered Nurse, Home Health

Belle Glade, FL

$77K - $106K/yr

Provides supervision for Aide and LPN as needed DUTIES AND RESPOSIBILITIES: Provide initial and on ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Registered Nurse, Home Health

Belle Glade, FL · On-site

$77K - $106K/yr

Provides supervision for Aide and LPN as needed DUTIES AND RESPOSIBILITIES: Provide initial and on ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Registered Nurse, Home Health- PRN

Corpus Christi, TX · On-site

$77K - $106K/yr

Provides supervision for Aide and LPN as needed DUTIES AND RESPOSIBILITIES: Provide initial and on ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Registered Nurse, Home Health

Belle Glade, FL · On-site

$77K - $106K/yr

Provides supervision for Aide and LPN as needed DUTIES AND RESPOSIBILITIES: Provide initial and on ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Registered Nurse, Home Health

Boca Raton, FL

$77K - $106K/yr

Provides supervision for Aide and LPN as needed DUTIES AND RESPOSIBILITIES: Provide initial and on ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

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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.

Senior Accreditation Professional

Remote

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

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 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
We are looking for a Senior Accreditation Professional who will work in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance with accreditation standards across multiple operational areas within Humana.
  • Serve as subject matter expert on National Committee for Quality Assurance (NCQA) Health Plan Accreditation and Long-Term Services and Supports (LTSS) requirements, advising stakeholders on compliance, and facilitating NCQA LTSS file universe preparation and LTSS file reviews.
  • Work with operational areas to prepare documentation and files for presentation to NCQA.
  • Advise operational leaders in developing functional strategies for compliance with accreditation standards.
  • Perform complex duties and responsibilities with minimal supervision, using independent judgment, critical thinking, and sound decision-making to resolve issues and achieve business objectives.
  • Use independent judgement requiring analysis of variable factors and determining the best course of action.

Use your skills to make an impact

Required Qualifications

  • Bachelor's degree.
  • Minimum three (3) years of experience in NCQA Health Plan Accreditation.
  • Experience collaborating effectively with cross-functional business areas to achieve organizational goals, drive initiatives, and support business objectives.
  • Experience analyzing data to identify issues, evaluate alternatives, solve complex problems, and implement effective solutions that support business objectives and drive operational improvements.
  • Demonstrate strong verbal and written communication skills, with the ability to clearly, professionally, and effectively convey information to diverse audiences and partners.

Preferred Qualifications

  • Current, active, and unrestricted licensure as a Registered Nurse (RN) or Behavioral Health Professional.
  • Expertise in NCQA accreditation standards, particularly LTSS requirements.
  • Experience with Medicare and Medicaid health plans, with specific expertise in Dual Eligible Special Needs Plans (D-SNP).
  • Experience conducting research and applying investigative skills to identify issues, analyze findings, and support informed decision-making.

Additional Information

  • Workstyle: This is a remote position with some travel.
  • Travel: Up to 5% travel, typically 3 to 5 trips annually, which may include travel outside your state of residence for team engagement meetings, onsite audits, and training sessions.
  • Work Schedule: Monday through Friday, 8:00 AM to 5:00 PM Eastern Time (ET). You will be expected to accommodate work schedules and meetings across both Eastern and Central time zones.
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.


$78,400 - $107,800 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.Application Deadline: 12-01-2026
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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