Remote Utilization Management RN: Care Coordination Lead

Humana is seeking a Utilization Management Registered Nurse to interpret and support coordination, documentation, and communication of medical services and benefit determinations. You will work with the One Home/Home Solutions Utilization Management team to manage post-acute care services across SNF, home health, and DME.

You will determine treatments using established criteria, communicate with providers and members, and ensure timely processing of reviews while aligning with organizational