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Remote Humana Rn Jobs in Hollywood, FL (NOW HIRING)

Case Management RN

Miami, FL ยท Remote

$32.60 - $42.79/hr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...

Preferred RN compact License Required Location: We are only hiring from the following states ... Remote-first -- work from home anywhere in the US within our approved states * Growth: Advanced ...

RN Field Case Manager

Miami, FL ยท On-site +1

$74K - $94K/yr

... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...

RN Field Case Manager

Miami, FL ยท On-site +1

$74K - $94K/yr

... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...

Virtual Physician - Cardiology

Miami, FL ยท On-site +1

$338K - $382K/yr

Travel: While this is a remote position, occasional travel to Humana's offices for training or ... Our integrated care teams, which include physicians, nurses, behavioral health specialists and more ...

Utilization Review Nurse

Miami, FL ยท Remote

$35 - $45.94/hr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...

Sr. Quality of Care Review Nurse

Miami, FL ยท Remote

$83K - $109K/yr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... Licensed Registered Nurse with active, unrestricted license in state of residence and willingness ...

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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.

Does Humana offer remote work options?

Remote Humana RNs can often work from home, depending on the specific role and department. The company provides remote work opportunities for qualified healthcare professionals, typically requiring relevant licensure and experience. Availability of remote positions may vary based on current staffing needs and job requirements.
What are the most commonly searched types of Humana Rn jobs in Hollywood, FL? The most popular types of Humana Rn jobs in Hollywood, FL are:
What job categories do people searching Remote Humana Rn jobs in Hollywood, FL look for? The top searched job categories for Remote Humana Rn jobs in Hollywood, FL are:
What cities near Hollywood, FL are hiring for Remote Humana Rn jobs? Cities near Hollywood, FL with the most Remote Humana Rn job openings:

Utilization Review RN (Remote)

HealthPlus Staffing

Fort Lauderdale, FL โ€ข Remote

$80K - $100K/yr

Full-time

Posted 25 days ago


Job description

Quick Job Details:

Setting: Fully Remote – Utilization Review
Schedule: Full-Time, Monday–Friday
Hours: Standard business hours
Patient Volume: N/A
Job Requirements:

  • Active RN license with Multi-State/Compact license required
  • Minimum 2 years of Utilization Review experience
  • Minimum 3 years of clinical nursing experience (acute care/hospital preferred)
  • Strong understanding of medical necessity, utilization management, healthcare reimbursement, and clinical documentation improvement
  • Excellent communication, analytical, and critical thinking skills
  • Ability to work independently in a remote environment

Responsibilities:

  • Conduct admission, continued stay, and observation reviews
  • Apply medical necessity criteria to determine appropriate level of care
  • Review cases for Physician Advisor escalation when appropriate
  • Collaborate with physicians, case managers, and insurance payers
  • Support denial prevention, documentation improvement, and revenue cycle initiatives
  • Ensure compliance with payer guidelines and regulatory requirements
  • Analyze clinical and financial data to identify quality improvement opportunities

Compensation: Competitive; based on experience

Benefits: Comprehensive benefits package

About Us:

HealthPlus Staffing is a national leader in the healthcare staffing industry. We partner with top healthcare organizations nationwide to connect highly qualified professionals with outstanding career opportunities.

Our Promise:

  • We will put you in front of the decision makers.
  • We will provide feedback on your application.
  • We will work on your behalf to obtain as much information as possible to help you make a well-informed decision.

If you're interested in this opportunity, please submit an application or call 561-291-7787 to speak with one of our experienced consultants. We look forward to helping you find your next opportunity!

The HealthPlus Team