Humana's Utilization Management Registered Nurse role focuses on coordinating and documenting medical services and benefit determinations for post-acute care (SNF, Home Health, DME). You will interpret clinical nursing data and communicate with providers to ensure appropriate care levels.
The UM RN collaborates with the Manager of Utilization Management and the One Home/Home Solutions team, applying criteria such as Milliman InterQual to support timely decisions while aligning with
#J-18808-LjbffrRemote Utilization Management RN for Care Coordination in workfromhome at Unknown Company
- Typical pay
- $86,320–$130,102
For context, most registered nurses earn between $86,320–$130,102 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and onsite.