About this role
Utilization Management Registered Nurse at Humana. Location: Alabama or Oklahoma or Ohio or New Mexico or New Jersey or New Hampshire or Nebraska or Montana or Missouri or Mississippi or Maryland or Maine or Louisiana or Kentucky or Kansas or Iowa or Indiana or Idaho or Georgia or Florida or Delaware or Colorado or Arkansas or Arizona or Wyoming or Wisconsin or West Virginia or Washington or Virginia or Vermont or Utah or Texas or Tennessee or South Dakota or South Carolina or Rhode Island or Pennsylvania or United States. Role: interpreting criteria, coordinating care, making determinations Requirements: Compact RN in state of residence, >1 year clinical RN experience (hospital/SNF/home health/acute), ability to apply medical necessity criteria and complete timely determinations in a remote, metrics-focused role. Category: Healthcare Services - Nursing Seniority: Entry Level Tools: Milliman Care Guidelines, Interqual Certifications: rn, compact rn Commitment: Full Time Workplace: Remote Languages: English