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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
Radiology Opening in Louisville, KY
Louisville, KY · On-site +1
$307K - $384K/yr
... on work-life balance--- Clinical Details:* 100% remote reading with full IT support available 24/7* Flexible scheduling - choose days, evenings, nights, or weekends* Ability to select subspecialty ...
Radiology Opening in Louisville, KY
Louisville, KY · On-site +1
$307K - $384K/yr
... on work-life balance--- Clinical Details:* 100% remote reading with full IT support available 24/7* Flexible scheduling - choose days, evenings, nights, or weekends* Ability to select subspecialty ...
Physician Radiology - Competitive Salary
Louisville, KY · On-site +1
$307K - $384K/yr
... on work-life balance--- Clinical Details:* 100% remote reading with full IT support available 24/7* Flexible scheduling - choose days, evenings, nights, or weekends* Ability to select subspecialty ...
Physician Radiology - Competitive Salary
Louisville, KY · On-site +1
$307K - $384K/yr
... on work-life balance--- Clinical Details:* 100% remote reading with full IT support available 24/7* Flexible scheduling - choose days, evenings, nights, or weekends* Ability to select subspecialty ...
We work with frontier labs, big tech, renowned AI startups, enterprises and non-profit research ... Our remote-first team is globally distributed around the world: USA , UK , the Netherlands , Serbia ...
We work with frontier labs, big tech, renowned AI startups, enterprises and non-profit research ... Our remote-first team is globally distributed around the world: USA , UK , the Netherlands , Serbia ...
General Radiologist with Procedures
Bowling Green, KY · On-site +1
$600K - $900K/yr
This role involves procedure work and offers the flexibility of remote diagnostic weekends. The position is ideal for a physician looking to join a collaborative, physician-led group with ...
General Radiologist with Procedures
Bowling Green, KY · On-site +1
$600K - $900K/yr
This role involves procedure work and offers the flexibility of remote diagnostic weekends. The position is ideal for a physician looking to join a collaborative, physician-led group with ...
Today, nearly 200 people around the globe work on Speechify in a 100% distributed setting ... These include frontend and backend engineers, AI research scientists, and others from Amazon ...
Today, nearly 200 people around the globe work on Speechify in a 100% distributed setting ... These include frontend and backend engineers, AI research scientists, and others from Amazon ...
Remote Inside Sales Representative
Lexington, KY · On-site +1
$44K - $100K/yr
From day one you will begin paid training in a remote work environment. All insurance ... Must be available to work a schedule of 4 weekdays and 1 weekend day. Shift options are 11:30-8pm ...
Remote Inside Sales Representative
Lexington, KY · On-site +1
$44K - $100K/yr
From day one you will begin paid training in a remote work environment. All insurance ... Must be available to work a schedule of 4 weekdays and 1 weekend day. Shift options are 11:30-8pm ...
Remote Inside Sales Representative
Louisville, KY · On-site +1
$44K - $100K/yr
From day one you will begin paid training in a remote work environment. All insurance ... Must be available to work a schedule of 4 weekdays and 1 weekend day. Shift options are 11:30-8pm ...
Remote Inside Sales Representative
Louisville, KY · On-site +1
$44K - $100K/yr
From day one you will begin paid training in a remote work environment. All insurance ... Must be available to work a schedule of 4 weekdays and 1 weekend day. Shift options are 11:30-8pm ...
Remote Inside Sales Representative
Louisville, KY · On-site +1
$100K/yr
From day one you will begin paid training in a remote work environment. All insurance ... Must be available to work a schedule of 4 weekdays and 1 weekend day. Shift options are 11:30-8pm ...
Remote Inside Sales Representative
Louisville, KY · On-site +1
$100K/yr
From day one you will begin paid training in a remote work environment. All insurance ... Must be available to work a schedule of 4 weekdays and 1 weekend day. Shift options are 11:30-8pm ...
Remote Inside Sales Representative
Louisville, KY · On-site +1
$85K/yr
From day one you will begin paid training in a remote work environment. All insurance ... Must be available to work a schedule of 4 weekdays and 1 weekend day. Shift options are 11:30-8pm ...
Remote Inside Sales Representative
Louisville, KY · On-site +1
$85K/yr
From day one you will begin paid training in a remote work environment. All insurance ... Must be available to work a schedule of 4 weekdays and 1 weekend day. Shift options are 11:30-8pm ...
Remote Inside Sales Representative
Lexington, KY · On-site +1
$85K/yr
From day one you will begin paid training in a remote work environment. All insurance ... Must be available to work a schedule of 4 weekdays and 1 weekend day. Shift options are 11:30-8pm ...
Remote Inside Sales Representative
Lexington, KY · On-site +1
$85K/yr
From day one you will begin paid training in a remote work environment. All insurance ... Must be available to work a schedule of 4 weekdays and 1 weekend day. Shift options are 11:30-8pm ...
Sales Representative
Louisville, KY · On-site +1
$28/hr
Weekend and overtime availability March - May Technology Requirements * High Speed Internet ... Work from home Work Location: Remote
Sales Representative
Louisville, KY · On-site +1
$28/hr
Weekend and overtime availability March - May Technology Requirements * High Speed Internet ... Work from home Work Location: Remote
Remote Inside Sales Representative
Lexington, KY · On-site +1
$100K/yr
From day one you will begin paid training in a remote work environment. All insurance ... Must be available to work a schedule of 4 weekdays and 1 weekend day. Shift options are 11:30-8pm ...
Remote Inside Sales Representative
Lexington, KY · On-site +1
$100K/yr
From day one you will begin paid training in a remote work environment. All insurance ... Must be available to work a schedule of 4 weekdays and 1 weekend day. Shift options are 11:30-8pm ...
Today, nearly 200 people around the globe work on Speechify in a 100% distributed setting ... These include frontend and backend engineers, AI research scientists, and others from Amazon ...
Today, nearly 200 people around the globe work on Speechify in a 100% distributed setting ... These include frontend and backend engineers, AI research scientists, and others from Amazon ...
Senior SOC Analyst - 2nd Shift Weekends
Covington, KY · Remote
$62.50 - $64.90/hr
Must be comfortable supporting a weekend schedule. ( 2 nd Shift WEEKEND schedule, Wednesday ... Applicants must be authorized to work in the United States without sponsorship. We are unable to ...
Senior SOC Analyst - 2nd Shift Weekends
Covington, KY · Remote
$62.50 - $64.90/hr
Must be comfortable supporting a weekend schedule. ( 2 nd Shift WEEKEND schedule, Wednesday ... Applicants must be authorized to work in the United States without sponsorship. We are unable to ...
Senior SOC Analyst - 2nd Shift Weekends
Frankfort, KY · Remote
$62.50 - $64.90/hr
Must be comfortable supporting a weekend schedule. ( 2 nd Shift WEEKEND schedule, Wednesday ... Applicants must be authorized to work in the United States without sponsorship. We are unable to ...
Senior SOC Analyst - 2nd Shift Weekends
Frankfort, KY · Remote
$62.50 - $64.90/hr
Must be comfortable supporting a weekend schedule. ( 2 nd Shift WEEKEND schedule, Wednesday ... Applicants must be authorized to work in the United States without sponsorship. We are unable to ...
$130K - $135K/yr
Must be comfortable supporting a weekend schedule. ( 2 nd Shift WEEKEND schedule, Wednesday ... Applicants must be authorized to work in the United States without sponsorship. We are unable to ...
$130K - $135K/yr
Must be comfortable supporting a weekend schedule. ( 2 nd Shift WEEKEND schedule, Wednesday ... Applicants must be authorized to work in the United States without sponsorship. We are unable to ...
Senior SOC Analyst - 2nd Shift Weekends
Louisville, KY · Remote
$62.50 - $64.90/hr
Must be comfortable supporting a weekend schedule. ( 2 nd Shift WEEKEND schedule, Wednesday ... Applicants must be authorized to work in the United States without sponsorship. We are unable to ...
Senior SOC Analyst - 2nd Shift Weekends
Louisville, KY · Remote
$62.50 - $64.90/hr
Must be comfortable supporting a weekend schedule. ( 2 nd Shift WEEKEND schedule, Wednesday ... Applicants must be authorized to work in the United States without sponsorship. We are unable to ...
Weekend Remote Amazon Work information
Can I work weekends at Amazon?
Does Weekend Remote Amazon Work have any part-time remote jobs?
What is the difference between Weekend Remote Amazon Work vs Weekend Remote Customer Service Associate?
| Aspect | Weekend Remote Amazon Work | Weekend Remote Customer Service Associate |
|---|---|---|
| Credentials | High school diploma or equivalent; Amazon-specific training | High school diploma or equivalent; customer service experience preferred |
| Work Environment | Remote, flexible hours, Amazon platform | Remote, flexible hours, customer support platforms |
| Industry Usage | Retail, logistics, e-commerce | Retail, e-commerce, service industry |
| Common Search Intent | Job opportunities, Amazon logistics roles | Customer support, service roles at home |
Weekend Remote Amazon Work involves tasks related to Amazon's logistics, warehouse, or fulfillment centers, often requiring specific Amazon training. In contrast, Weekend Remote Customer Service Associate roles focus on assisting customers via support platforms. Both roles are remote, part-time, and industry-related, but they differ in job functions and required skills.
Utilization Management RN (Discharge & Auth) Weekends Required
Louisville, KY • On-site, Remote
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 15 days ago
Humana rating
8.0
Based on 264 frontline employees who took The Breakroom Quiz
163rd of 301 rated insurance
Job description
The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations for Humana's Kentucky Medicaid Plan. This role has primary responsibility for performing medical necessity reviews, including initial and concurrent authorization decisions, using established clinical criteria and independent clinical judgment. The Utilization Management Nurse 2 also plays a key role in facilitating comprehensive, proactive, and barrier-focused discharge planning to home or a lower level of care.
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.
- Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment.
- Maintain compliance with state regulations and organizational standards for coordinated member discharge, ensuring all plans are documented and communicated effectively.
- Perform initial and concurrent reviews with medical necessity determinations, including level of care and length of stay decisions.
- Engage providers via telephonic, virtual, and onsite collaboration as needed.
- Follows established guidelines/procedures.
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.
Use your skills to make an impact
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:
- The position follows a 5-day workweek, which includes both Saturday and Sunday.
- Associates will receive two days off during the week.
- Associates may choose which two weekdays they would like off.
- Once selected, those days off must remain consistent from week to week and cannot vary.
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.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