Humana is seeking an experienced Utilization Management Nurse 2 to support medical necessity reviews, care coordination, and discharge planning for Kentucky Medicaid members. You will use clinical judgment to decide on level of care and communicate decisions with providers and members.
The role is remote/work-from-home with weekend shifts and some travel to the Louisville office a few times annually; requires Kentucky RN license, 2+ years clinical experience, and 1+ year UM experience, plus
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