Experience in discharge planning, transitions of care, and familiarity with community-based ... Remote work at home Location: Must reside in Kentucky or a county that is within contiguous ...
New
Experience in discharge planning, transitions of care, and familiarity with community-based ... Remote work at home Location: Must reside in Kentucky or a county that is within contiguous ...
New
Experience in discharge planning, transitions of care, and familiarity with community-based ... Remote work at home Location: Must reside in Kentucky or a county that is within contiguous ...
New
Experience in discharge planning, transitions of care, and familiarity with community-based ... Remote work at home Location: Must reside in Kentucky or a county that is within contiguous ...
New
Experience in discharge planning, transitions of care, and familiarity with community-based ... Remote work at home Location: Must reside in Kentucky or a county that is within contiguous ...
New
Experience in discharge planning, transitions of care, and familiarity with community-based ... Remote work at home Location: Must reside in Kentucky or a county that is within contiguous ...
New
Experience in discharge planning, transitions of care, and familiarity with community-based ... Remote work at home Location: Must reside in Kentucky or a county that is within contiguous ...
New
New York, NY · Remote
$75K - $100K/yr
Remote Registered Nurse (RN) - Principal Care Management (PCM)Join Elaya Health - Improving Specialty Care in Nursing Homes 📍 Remote Position 🕒 Full Time / Part Time Available 💻 Work From ...
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New York, NY · Remote
$75K - $100K/yr
Remote Registered Nurse (RN) - Principal Care Management (PCM)Join Elaya Health - Improving Specialty Care in Nursing Homes 📍 Remote Position 🕒 Full Time / Part Time Available 💻 Work From ...
Passaic, NJ · On-site +1
$35 - $45/hr
Remote Registered Nurse (RN) - Principal Care Management (PCM) Join Elaya Health - Improving Specialty Care in Nursing Homes 📍 Remote Position 🕒 Full Time / Part Time Available 💻 Work From ...
Passaic, NJ · On-site +1
$35 - $45/hr
Remote Registered Nurse (RN) - Principal Care Management (PCM) Join Elaya Health - Improving Specialty Care in Nursing Homes 📍 Remote Position 🕒 Full Time / Part Time Available 💻 Work From ...
Bronx, NY · On-site +1
$75K - $100K/yr
Remote Registered Nurse (RN) - Principal Care Management (PCM) Join Elaya Health - Improving Specialty Care in Nursing Homes 📍 Remote Position 🕒 Full Time / Part Time Available 💻 Work From ...
Bronx, NY · On-site +1
$75K - $100K/yr
Remote Registered Nurse (RN) - Principal Care Management (PCM) Join Elaya Health - Improving Specialty Care in Nursing Homes 📍 Remote Position 🕒 Full Time / Part Time Available 💻 Work From ...
Great Neck, NY · On-site +1
$75K - $100K/yr
Remote Registered Nurse (RN) - Principal Care Management (PCM) Join Elaya Health - Improving Specialty Care in Nursing Homes 📍 Remote Position 🕒 Full Time / Part Time Available 💻 Work From ...
Great Neck, NY · On-site +1
$75K - $100K/yr
Remote Registered Nurse (RN) - Principal Care Management (PCM) Join Elaya Health - Improving Specialty Care in Nursing Homes 📍 Remote Position 🕒 Full Time / Part Time Available 💻 Work From ...
Great Neck, NY · Remote
$75K - $100K/yr
Remote Registered Nurse (RN) - Principal Care Management (PCM)Join Elaya Health - Improving Specialty Care in Nursing Homes 📍 Remote Position 🕒 Full Time / Part Time Available 💻 Work From ...
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Great Neck, NY · Remote
$75K - $100K/yr
Remote Registered Nurse (RN) - Principal Care Management (PCM)Join Elaya Health - Improving Specialty Care in Nursing Homes 📍 Remote Position 🕒 Full Time / Part Time Available 💻 Work From ...
Passaic, NJ · Remote
$35 - $45/hr
Remote Registered Nurse (RN) - Principal Care Management (PCM)Join Elaya Health - Improving Specialty Care in Nursing Homes 📍 Remote Position 🕒 Full Time / Part Time Available 💻 Work From ...
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Passaic, NJ · Remote
$35 - $45/hr
Remote Registered Nurse (RN) - Principal Care Management (PCM)Join Elaya Health - Improving Specialty Care in Nursing Homes 📍 Remote Position 🕒 Full Time / Part Time Available 💻 Work From ...
$25/hr
We are seeking dedicated and qualified RNs to join our team as Remote Contingent Hurricane Response Inbound Phone Agents. In the event of a hurricane or natural disaster, our company, Cortex, is ...
$25/hr
We are seeking dedicated and qualified RNs to join our team as Remote Contingent Hurricane Response Inbound Phone Agents. In the event of a hurricane or natural disaster, our company, Cortex, is ...
Join Our Remote RN Team Supporting Our Military Communities! Are you a seasoned ER or Med-Surg nurse looking for a meaningful, mission-driven role that lets you care for others without the scrubs and ...
New
Join Our Remote RN Team Supporting Our Military Communities! Are you a seasoned ER or Med-Surg nurse looking for a meaningful, mission-driven role that lets you care for others without the scrubs and ...
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Position Details: 🌐 Remote RN Opportunity Non-Patient Contact Role | Must Reside Within 1 hour ... Patient Placement & Bed Planning * Staffing & Nursing Logistics * Coordination of Patient Transfers ...
Position Details: 🌐 Remote RN Opportunity Non-Patient Contact Role | Must Reside Within 1 hour ... Patient Placement & Bed Planning * Staffing & Nursing Logistics * Coordination of Patient Transfers ...
Quality monitoring focusing on medical necessity guidelines and discharge planning opportunities to ... Clearly communicates instructions to remote users. Visit www.libertycareers.com for more ...
Quality monitoring focusing on medical necessity guidelines and discharge planning opportunities to ... Clearly communicates instructions to remote users. Visit www.libertycareers.com for more ...
Washington, DC · Remote
$36.32 - $46/hr
The RN Care Manager assesses member needs, develops and monitors individualized care plans ... Support hospital discharge planning and transitions of care * Educate members and caregivers on ...
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Washington, DC · Remote
$36.32 - $46/hr
The RN Care Manager assesses member needs, develops and monitors individualized care plans ... Support hospital discharge planning and transitions of care * Educate members and caregivers on ...
Washington, DC · Remote
$36.32 - $46/hr
The RN Care Manager assesses member needs, develops and monitors individualized care plans ... Support hospital discharge planning and transitions of care * Educate members and caregivers on ...
Quick apply
Washington, DC · Remote
$36.32 - $46/hr
The RN Care Manager assesses member needs, develops and monitors individualized care plans ... Support hospital discharge planning and transitions of care * Educate members and caregivers on ...
Boise, ID · Remote
The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support to firsthand individuals and staff, while also supporting outpatient care coordination. This is ...
Boise, ID · Remote
The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support to firsthand individuals and staff, while also supporting outpatient care coordination. This is ...
... Remote/Hybrid/Field -Based) Join Our Growing Home Care Team Dusk To Dawn, LLC is seeking ... Hospital discharge planners Social workers and case managers Rehabilitation centers Skilled nursing ...
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... Remote/Hybrid/Field -Based) Join Our Growing Home Care Team Dusk To Dawn, LLC is seeking ... Hospital discharge planners Social workers and case managers Rehabilitation centers Skilled nursing ...
New
Eugene, OR · Remote
The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support to firsthand individuals and staff, while also supporting outpatient care coordination. This is ...
Eugene, OR · Remote
The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support to firsthand individuals and staff, while also supporting outpatient care coordination. This is ...
... Remote/Hybrid/Field -Based) Join Our Growing Home Care Team Dusk To Dawn, LLC is seeking ... Hospital discharge planners Social workers and case managers Rehabilitation centers Skilled nursing ...
New
Quick apply
... Remote/Hybrid/Field -Based) Join Our Growing Home Care Team Dusk To Dawn, LLC is seeking ... Hospital discharge planners Social workers and case managers Rehabilitation centers Skilled nursing ...
New
Albuquerque, NM · Remote
The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support to firsthand individuals and staff, while also supporting outpatient care coordination. This is ...
Albuquerque, NM · Remote
The Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support to firsthand individuals and staff, while also supporting outpatient care coordination. This is ...
$14.66 - $18.75
7% of jobs
$18.75 - $22.84
17% of jobs
$23.11 is the 25th percentile. Wages below this are outliers.
$22.84 - $26.92
16% of jobs
The median wage is $29.48 / hr.
$26.92 - $31.01
17% of jobs
$31.01 - $35.10
14% of jobs
$37.37 is the 75th percentile. Wages above this are outliers.
$35.10 - $39.18
9% of jobs
$39.18 - $43.27
9% of jobs
$43.27 - $47.36
5% of jobs
$47.36 - $51.44
3% of jobs
$51.44 - $55.53
1% of jobs
$55.53 - $59.62
2% of jobs
$14
$32
$59
| Aspect | Remote Rn Discharge Planning | Remote Rn Case Management |
|---|---|---|
| Certifications | RN license, discharge planning certifications | RN license, case management certifications (e.g., CCM) |
| Work Environment | Hospitals, rehab centers, home health agencies | Insurance companies, healthcare organizations, community agencies |
| Job Focus | Coordinating patient discharge and post-hospital care | Managing ongoing patient care plans and resource coordination |
| Common Search Intent | Discharge planning roles, patient transition | Care coordination, patient management |
Remote Rn Discharge Planning and Remote Rn Case Management both require RN licensure and healthcare experience. Discharge planning focuses on coordinating patient transitions from hospital to home, while case management involves ongoing patient care and resource management. Although related, they serve different aspects of patient care and are often sought by healthcare professionals looking to specialize in either discharge processes or comprehensive care coordination.

Louisville, KY • On-site, Remote
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 2 days ago
7.9
Based on 262 frontline employees who took The Breakroom Quiz
159th of 281 rated insurance
The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members.
The schedule for this position will include weekends, typically Wednesday through Sunday from 8:00 AM to 5:00 PM Eastern Time with flexibility to adjust weekdays off with leader approval.
Required Qualifications
Licensed Registered Nurse (RN) in the state of Kentucky, in good standing with no disciplinary action.
2+ years of progressive clinical experience in an acute care, skilled nursing, or rehabilitation setting (preferred).
1+ year of utilization management experience.
Maintain compliance with state regulations and organizational standards, ensuring that we coordinate and document member discharge plans and communicate them.
Experience performing initial and concurrent reviews for medical service requests, with the ability to interpret clinical criteria and apply judgment to support appropriate use and benefit administration.
Experience engaging with providers and care teams through telephonic, virtual, or onsite interactions to facilitate authorizations and support member-centered discharge planning.
Strong proficiency in Microsoft Office Suite, including Word, Excel, and PowerPoint.
Preferred Qualifications
Bachelor's degree in nursing.
MCG experience.
Experience in discharge planning, transitions of care, and familiarity with community-based resources and social determinants of health.
Health plan experience.
Medicaid experience.
Bilingual in English and another language. A Language Proficiency Assessment will be conducted to evaluate fluency in reading, writing, and speaking in both languages prior to assignment to a dedicated member service line.
Additional Information
Workstyle: Remote work at home
Location: Must reside in Kentucky or a county that is within contiguous bordering states
Schedule: The schedule for this position will include weekends (Weekend shifts are eligible for a shift differential), from 8:00 AM to 5:00 PM Eastern Time with flexibility to adjust weekdays off with leader approval:
Travel: Travel to the Louisville office about 3-4 times annually.
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.
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.
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.
Health care and social assistance
10,000+ Employees
Louisville, KY, US
1961