Humana is seeking a Utilization Management Registered Nurse to interpret and coordinate medical services and benefit determinations for post-acute care programs (SNF, Home Health, DME). The role involves consulting with physicians, coordinating member care, and maintaining documentation while working remotely with periodic travel to Humana offices as needed.
You must have a Compact RN license, 1+ year of RN experience, and familiarity with medical necessity criteria.
#J-18808-LjbffrRemote Utilization Management RN in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.