Humana is seeking a Utilization Management Nurse to leverage clinical nursing skills in coordinating, documenting, and communicating medical service determinations. The role requires independent interpretation and decision making within established guidelines, with collaboration across providers and members to ensure appropriate care.
The position expects RN licensure with no disciplinary actions, a Bachelor’s degree, and 3–5 years in Medical-Surgical or critical care areas, plus proficiency in
#J-18808-LjbffrUtilization Management Nurse in workfromhome at Unknown Company
This position is listed as full time and onsite.