ZipRecruiter

Log In

2

Remote Humana Rn Jobs in Maryland (NOW HIRING)

Cinqcare

Registered Nurse

Laurel, MD · Remote

Deploys Remote Patient Monitoring and Patient Self Reporting for High-Risk Chronic Conditions ... The RN will establish the business strategy and roadmap: (1) improve outcomes for Grace at Home ...

Pair Team

Medicare Nurse Practitioner (Remote)

Columbia, MD · Remote

$115K - $130K/yr

Partner with RNs, Community Health Workers, and clinical leadership to close care gaps and ensure ... Fully remote work environment Pair Team is an Equal Opportunity Employer. At Pair Team, we value ...

Cogency

Nurse Consultant - Part Time

Baltimore, MD · On-site +1

Current RN Licensure in Maryland * Current provider card in Basic Life Support (BLS) * Strong ... Remote/telework available and encouraged when not needed for in house patient evaluations.

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

The Post- Acute Care Clinical Navigator (RN) manages the timely and smooth transition from inpatient care to home or other levels of care utilizing experience and skills in both care management and ...

CareFirst

Clinical Appeals Nurse (Remote)

Baltimore, MD · Remote

Licenses/Certifications Upon Hired Required: * RN - Registered Nurse - State Licensure And/or Compact State Licensure. Experience: Three (3) years of clinically related experience working in Medical ...

next page

Showing results 1-20

All JobsRemote Humana Rn JobsRemote Humana Rn Jobs in Maryland

Remote Humana Rn information

What is the difference between Remote Humana Rn vs Remote UnitedHealthcare Rn?

AspectRemote Humana RnRemote UnitedHealthcare Rn
CredentialsRN license, applicable certificationsRN license, applicable certifications
Work EnvironmentRemote, telehealth settingsRemote, telehealth settings
Employer & IndustryHumana, health insurance industryUnitedHealthcare, health insurance industry
Common Search IntentComparison of remote nursing roles in Humana and similar companiesComparison 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.

What are popular job titles related to Remote Humana Rn jobs in Maryland? For Remote Humana Rn jobs in Maryland, the most frequently searched job titles are:
What job categories do people searching Remote Humana Rn jobs in Maryland look for? The top searched job categories for Remote Humana Rn jobs in Maryland are:
What cities in Maryland are hiring for Remote Humana Rn jobs? Cities in Maryland with the most Remote Humana Rn job openings:
Remote Humana Rn jobs near you
RN Admissions Coordinator - Long-Term Care & Rehabilitation (Remote)

RN Admissions Coordinator - Long-Term Care & Rehabilitation (Remote)

Morgan Stephens

Annapolis, MD • On-site, Remote

$85K/yr

Other

Medical, Retirement, PTO

Posted 12 days ago

Job description

Job Title: RN Admissions Coordinator - Long-Term Care & Rehabilitation
Location: Annapolis, MD
Job Type: Full-Time
Department: Care Management / Utilization Management
Salary: $85,000

Position Summary
A managed care organization serving Maryland Medicaid members is seeking an experienced and compassionate Registered Nurse (RN) to join its Care Management team. This position is responsible for coordinating and facilitating admissions to long-term care and rehabilitation facilities for members requiring skilled or extended care services.

The ideal candidate will have a background in home health, skilled nursing, or long-term care admissions, along with a strong understanding of Maryland Medicaid eligibility, coverage, and placement processes.

Key Responsibilities

Coordinate and oversee admissions and transitions of care for members entering long-term care, skilled nursing facilities (SNFs), or subacute rehabilitation settings

Review clinical documentation and assessments to determine appropriate placement based on member needs and Maryland Medicaid guidelines

Serve as the primary liaison between the health plan, facility admissions teams, hospital discharge planners, and providers to ensure smooth and timely placements

Manage prior authorization processes, approve services within scope, and confirm Medicaid eligibility

Collaborate with Utilization Management and Case Management teams to support continuity of care and efficient resource utilization

Provide education to members and families regarding benefits, services, and expectations during care transitions

Maintain accurate, detailed documentation in EMR and care management systems

Ensure compliance with Maryland regulations, HIPAA requirements, and internal quality standards

Qualifications

Active, unrestricted RN license in the State of Maryland (required)

Minimum of 3 years of clinical experience in home health, long-term care, rehabilitation, or admissions/intake coordination

Strong knowledge of Maryland Medicaid, including long-term services and supports (LTSS) and waiver programs

Excellent communication, critical thinking, and documentation skills

Proficiency with electronic medical records (EMR) and care coordination software

Ability to work independently in a remote or hybrid environment

Preferred Experience

Managed care, health plan, or insurance case management background

Experience with Maryland programs such as Community Options Waiver, Medical Day Care, or nursing facility placement processes

Experience in discharge planning, transitional care, or post-acute navigation

Bilingual English/Spanish is a plus but not required

Benefits Include
Competitive compensation, full benefits package, 401(k) with match, generous paid time off, continuing education support, and flexible work environment.

Apply