As a Utilization Management Registered Nurse: * You will use clinical nursing skills to interpret ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
As a Utilization Management Registered Nurse: * You will use clinical nursing skills to interpret ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
As a Utilization Management Registered Nurse: * You will use clinical nursing skills to interpret ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
As a Utilization Management Registered Nurse: * You will use clinical nursing skills to interpret ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
As a Utilization Management Registered Nurse: * You will use clinical nursing skills to interpret ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
As a Utilization Management Registered Nurse: * You will use clinical nursing skills to interpret ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Licensed Registered Nurse (RN) in an Enhanced Nurse Licensure Compact (eNLC) state, with no ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Licensed Registered Nurse (RN) in an Enhanced Nurse Licensure Compact (eNLC) state, with no ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Licensed Registered Nurse (RN) in an Enhanced Nurse Licensure Compact (eNLC) state, with no ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Licensed Registered Nurse (RN) in an Enhanced Nurse Licensure Compact (eNLC) state, with no ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Licensed Registered Nurse (RN) in an Enhanced Nurse Licensure Compact (eNLC) state, with no ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
New
Licensed Registered Nurse (RN) in an Enhanced Nurse Licensure Compact (eNLC) state, with no ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
New
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 ...
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 ...
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 ...
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 ...
Licensed Registered Nurse (RN) in an Enhanced Nurse Licensure Compact (eNLC) state, with no ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Licensed Registered Nurse (RN) in an Enhanced Nurse Licensure Compact (eNLC) state, with no ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Registered Nurse with current in-state RN license * At least 3 years of varied clinical RN nursing ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Registered Nurse with current in-state RN license * At least 3 years of varied clinical RN nursing ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
The Field Care Manager Registered Nurse key roles and responsibilities may include the following ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
The Field Care Manager Registered Nurse key roles and responsibilities may include the following ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
The Field Care Manager Registered Nurse key roles and responsibilities may include the following ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
The Field Care Manager Registered Nurse key roles and responsibilities may include the following ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Registered Nurse with current in-state RN license * At least 3 years of varied clinical RN nursing ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Registered Nurse with current in-state RN license * At least 3 years of varied clinical RN nursing ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
The Field Care Manager Registered Nurse key roles and responsibilities may include the following ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
The Field Care Manager Registered Nurse key roles and responsibilities may include the following ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Licensed Registered Nurse (RN) with compact license in the (appropriate state) with no disciplinary ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Licensed Registered Nurse (RN) with compact license in the (appropriate state) with no disciplinary ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Licensed Registered Nurse (RN) with compact license in the (appropriate state) with no disciplinary ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Licensed Registered Nurse (RN) with compact license in the (appropriate state) with no disciplinary ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Licensed Registered Nurse (RN) with compact license in the (appropriate state) with no disciplinary ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Licensed Registered Nurse (RN) with compact license in the (appropriate state) with no disciplinary ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Compliance Audit Nurse
Oklahoma City, OK · On-site +1
Active Registered Nurse, RN, license in the state of Oklahoma with no discrepancies * 3+ years ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Compliance Audit Nurse
Oklahoma City, OK · On-site +1
Active Registered Nurse, RN, license in the state of Oklahoma with no discrepancies * 3+ years ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
The Field Care Manager Registered Nurse key roles and responsibilities may include the following ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
The Field Care Manager Registered Nurse key roles and responsibilities may include the following ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
The Field Care Manager Registered Nurse key roles and responsibilities may include the following ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
The Field Care Manager Registered Nurse key roles and responsibilities may include the following ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Remote Humana Rn information
What is the difference between Remote Humana Rn vs Remote UnitedHealthcare Rn?
| Aspect | Remote Humana Rn | Remote UnitedHealthcare Rn |
|---|---|---|
| Credentials | RN license, applicable certifications | RN license, applicable certifications |
| Work Environment | Remote, telehealth settings | Remote, telehealth settings |
| Employer & Industry | Humana, health insurance industry | UnitedHealthcare, health insurance industry |
| Common Search Intent | Comparison of remote nursing roles in Humana and similar companies | Comparison of remote nursing roles in UnitedHealthcare and similar companies |
Both Remote Humana Rn and Remote UnitedHealthcare Rn roles involve providing patient care remotely within the health insurance industry. They require similar credentials, such as an active RN license and relevant certifications. The primary difference lies in the employer and specific company policies, but the work environment and job responsibilities are largely comparable, focusing on telehealth services for members of their respective health plans.
Does a remote Humana RN offer remote work options?
A remote Humana RN typically offers remote work options, allowing nurses to perform their duties from home. These roles often involve telehealth, case management, or patient support, requiring strong communication skills and relevant certifications. Remote RN positions at Humana are designed to provide flexibility while maintaining healthcare standards.
More about Remote Humana Rn jobs
What cities are hiring for Remote Humana Rn jobs?
Cities with the most Remote Humana Rn job openings:
What are the most commonly searched types of Humana Rn jobs?
The most popular types of Humana Rn jobs are:
What states have the most Remote Humana Rn jobs?
States with the most job openings for Remote Humana Rn jobs include:
What job categories do people searching Remote Humana Rn jobs look for?
The top searched job categories for Remote Humana Rn jobs are:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 20 days ago
Humana rating
8.0
Based on 267 frontline employees who took The Breakroom Quiz
173rd of 315 rated insurance
Job description
Become a part of our caring community
The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration determinations. You will report to the Manager of Utilization Management and serve as a member of the One Home/Home Solutions Utilization Management team. This team manages post-acute care services. These services include Skilled Nursing Facility (SNF), Home Health, and Durable Medical Equipment (DME). The team's goal is to ensure members receive the appropriate level of care in the most appropriate setting.
Use your skills to make an impact
Required Qualifications:
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.
The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration determinations. You will report to the Manager of Utilization Management and serve as a member of the One Home/Home Solutions Utilization Management team. This team manages post-acute care services. These services include Skilled Nursing Facility (SNF), Home Health, and Durable Medical Equipment (DME). The team's goal is to ensure members receive the appropriate level of care in the most appropriate setting.
As a Utilization Management Registered Nurse:
- You will use clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration determinations.
- Using established medical criteria, you will make determinations based on information provided by the attending physician and other care providers
- You will complete request determinations within established processing time frames. (i.e. 10 reviews per day?)
- You will communicate with providers, members, or other parties to facilitate care and treatment.
- You will help deliver coordinated care for our members
- You will understand department, segment, and organizational strategy and operating goals, including their linkages to related areas.
Use your skills to make an impact
Required Qualifications:
- Must hold Compact Registered Nurse (RN) license in your state of residence
- Greater than one year of clinical experience as a RN in a hospital, SNF, Home Health, or acute care setting.
- Must be passionate about contributing to an organization focused on improving consumer experiences
- Previous experience in utilization management/utilization review for a health plan or acute care setting
- Basic knowledge of medical necessity criteria such as Milliman Care Guidelines or Interqual.
- Experience working in a fully remote, metrics-focused role
- Experience as an MDS Coordinator or discharge planner in an acute care setting
- Experience as an RN for a Medicare Certified Home Health agency
- Health Plan or Medicare / Medicaid Experience
- Call center or triage experience
- BSN or bachelor's degree in a related field
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.
- Satellite, cellular and microwave connection can be used only if approved by leadership.
- Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
- Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Scheduled Weekly Hours
40Pay 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.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.
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