ZipRecruiter

Log In

2

Remote Humana Rn Jobs in Akron, OH (NOW HIRING)

BetterHelp

Licensed Psychologist- Remote

Cleveland, OH · Remote

$650/wk

Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...

SalvoHealth

Medical Assistant, Remote

Cleveland, OH · Remote

$18 - $22/hr

Experience working in a remote setting * Experience making out-bound calls to patients * Strong ... specialty physicians, registered dietitians, nurses, psychologists, and therapists who have ...

New

SalvoHealth

Medical Assistant, Remote

Cleveland, OH · Remote

$18 - $22/hr

Experience working in a remote setting * Experience making out-bound calls to patients * Strong ... specialty physicians, registered dietitians, nurses, psychologists, and therapists who have ...

All JobsHumana Rn JobsRemote Humana Rn JobsRemote Humana Rn Jobs in Akron, OH

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 the most commonly searched types of Humana Rn jobs in Akron, OH? The most popular types of Humana Rn jobs in Akron, OH are:
What are popular job titles related to Remote Humana Rn jobs in Akron, OH? For Remote Humana Rn jobs in Akron, OH, the most frequently searched job titles are:
What job categories do people searching Remote Humana Rn jobs in Akron, OH look for? The top searched job categories for Remote Humana Rn jobs in Akron, OH are:
What cities near Akron, OH are hiring for Remote Humana Rn jobs? Cities near Akron, OH with the most Remote Humana Rn job openings:
Remote Humana Rn jobs near you
Infographic showing various Remote Humana Rn job openings in Akron, OH as of July 2026, with employment types broken down into 50% Full Time, and 50% Contract. Highlights an 100% Remote job distribution.
Utilization Management Nurse

Utilization Management Nurse

Akron Children's Hospital

Akron, OH • On-site, Remote

Full-time

Posted 3 days ago

New

Akron Children's Hospital rating

7.2

Company rating: 7.2 out of 10

Based on 95 frontline employees who took The Breakroom Quiz

396th of 1,020 rated hospitals

Job description

Full Time Days
7am-4:30pm
40 Hours/Week
Utilization management and pediatric nursing experience preferred
Summary:
The Utilization Management Nurse is responsible for conducting medical necessity review to assure appropriate use of hospital resources and serving as a resource to the hospital staff on utilization management practices.
Responsibilities:
1. Conduct Utilization Review & Determine Appropriate Level of Care
Applies evidence-based medical necessity criteria, validates admission status, and ensures all inpatient, observation, and outpatient-in-a-bed cases meet criteria. Collaborates proactively with physician advisors and attending providers for accurate level-of-care decisions and authorization of hospital days.
2. Manage Denials, Compliance, and Quality Improvement Activities
Participates in denial management and peer review processes, identifies compliance or ethical issues, and contributes to quality and safety initiatives aimed at improving departmental and hospital workflows.
3. Support Care Progression Through Interdisciplinary Collaboration
Actively engages in daily huddles, multidisciplinary rounds, and patient care discussions to understand service intensity, discharge barriers, and progression of care, while serving as a resource to the care team on utilization, documentation, and admission requirements.
4. Maintain Accurate and Timely Documentation
Clearly documents all reviews, interactions, and decisions in Midas, Epic, and other required systems.
5. Performs additional duties as assigned.
Other information:
Technical Expertise
1. Experience in inpatient clinical is required.
2. Experience in pediatrics is preferred.
3. Experience working with all levels within an organization is required.
4. Experience in healthcare is required.
5. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required.
Education and Experience
1.Education: Bachelor's in nursing [BSN] is required. For employees hired after July 1, 2013, BSN is required or must be obtained within 5 years from date of hire.
2. Certification: Registered Nurse licensure is required.
3. Years of relevant experience: 3 years is required.
4. Years of experience supervising: None.
Full Time
FTE: 1.000000
Status: Remote

What Akron Children's Hospital employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Akron Children's Hospital logo

About Akron Children's Hospital

Sourced by ZipRecruiter

Akron Children's Hospital has been caring for children since 1890, and our pediatric specialties are ranked among the nation's best by U.S. News & World Report. With two hospital campuses, regional health centers and more than 50 primary and specialty care locations throughout Ohio, we're making it easier for today's busy families to find the high-quality care they need. In 2020, our health care system provided more than 1.1 million patient encounters. We also operate neonatal and pediatric units in the hospitals of our regional health care partners. Every year, our Children's Home Care Group nurses provide thousands of in-home visits, and our School Health nurses manage clinic visits for students from preschool through high school. With our Quick Care Online virtual visits and Akron Children's Anywhere app, we're here for families whenever and wherever they need us. Learn more at akronchildrens.org.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Akron, OH, US

Year founded

1890

View All Akron Children's Hospital Jobs

Apply