Remote Utilization Management RN

Humana is seeking a Utilization Management Registered Nurse for a remote role supporting post-acute care services. You will interpret clinical data, coordinate care, and document determinations using established criteria.

This position may require occasional travel to Humana offices for training or meetings. The role emphasizes remote performance metrics, collaboration with providers, and a focus on delivering appropriate care in the right setting for members enrolled in Medicare and Medicaid